HiACode

The specialist codes all requested Inpatient medical records using the most accurate ICD-10-CM/PCS and DRG assignment according to guidelines and policies. This includes abstracting key data elements required by UHDDS and maintaining specified productivity and accuracy standards.

The specialist is responsible for coding all requested outpatient acute care facility records using ICD-10-CM/PCS and CPT codes according to guidelines and abstracting necessary demographic and clinical data elements. This role requires using encoders like 3M and/or TruCode to ensure appropriate reimbursement while meeting quality and productivity standards.

The specialist will code outpatient medical records using the most accurate ICD-10-CM/PCS and CPT codes according to regulatory guidelines and company policy. Responsibilities also include abstracting necessary demographic and clinical data while meeting specified quality and productivity standards.

The role involves performing compliance audits based on CMS, CPT, ICD-10 guidelines, and state/federal regulations, focusing on Evaluation and Management (E&M) reviews. Responsibilities include documenting findings, writing recommendation worksheets, and presenting educational feedback to clients during summation calls.

The consultant performs compliance audits of medical records against coding guidelines, writing concise recommendations and presenting findings to coders during education exits. Responsibilities also include reviewing documentation for accuracy, utilizing various coding software, running reports, and conducting exit conferences with administration and coding staff.