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 specialist will review claims and provider documentation to assign accurate ICD-10 and CPT codes, ensuring compliance with medical coding policies and CMS guidelines for risk adjustment reimbursement. This role requires leveraging coding expertise to foster improvements in clinical documentation quality and serving as the subject matter expert on HCC documentation requirements, including interpreting Spanish-language medical records.