Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
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