Surgical Coding & Documentation
- Review patient medical records, operative reports, and clinical documentation related to surgical procedures.
- Assign appropriate medical codes for surgeries including general surgery, cardiac surgery, anesthesia, and radiology procedures.
- Ensure accurate and timely coding of same-day surgeries and inpatient procedures.
- Maintain compliance with industry coding standards and healthcare regulations.
Medical Coding & Classification
- Apply appropriate coding systems such as ICD, CPT, and other classification standards.
- Handle coding for IP DRG and E/M services as applicable.
- Ensure accurate coding to support claims processing and reimbursement.
- Identify and correct documentation discrepancies in medical records.
Quality Assurance & Compliance
- Maintain coding accuracy and adherence to compliance guidelines.
- Support audits and internal quality checks related to medical coding.
- Ensure proper documentation to minimize claim denials and coding errors.
- Stay updated with the latest coding guidelines and healthcare regulations.
Denial Management & Claim Support
- Review denied claims and perform denial coding analysis.
- Work with billing teams to resolve coding-related claim issues.
- Ensure coding accuracy to improve reimbursement efficiency and reduce denials.
