Brown Medicine

Job Description SUMMARY: Under the general direction of the Coding Manager reviews visit documentation from Brown Medicine offices and hospital visits to determine all diagnoses and procedures; primarily focused on E&M levels, assigns the correct ICD10-CM, HCC and/or CPT code; adheres to accepted coding conventions. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit using appropriate guidelines. * Assesses the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. * Clarifies conflicting, ambiguous, or nonspecific information appearing in the record by initiating a query to the provider. * Evaluates notes with HCC coding initiatives in mind, advising manager if opportunities for maximizing score based on documentation exist. * Demonstrates the ability to recognize potential coding...