Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.
Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS, CPT and HCPCS Level II coding books.
Correlate operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved.
Use specialized procedures and methods to correct and amend records.
Perform quantitative analysis and check medical records for completeness, accuracy, and compliance with regulatory requirements.
Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.