• Audits medical charts and records for compliance with federal coding regulations and guidelines • Reviews evaluation and management (E/M) codes, medical diagnoses and clinical procedures to ensure accurate medical billing • Trains, instructs and provides technical support to medical providers, support staff and medical coding personnel on documentation and coding standards • Collaborates with hospital compliance and coding staff to ensure consistent training for professional and facility services • Reviews, develops, and/or modifies procedures, systems and protocols to maintain compatibility with UNM Medical Group billing requirements and compliance standards • Assists management with development of the annual work plan and risk assessment • Evaluates external payer record requests for reconsideration, appeals and rebuttals • Provides follow-up audits when necessary and prepares reports and observations • Researches, analyzes and responds to internal and external inquiries regarding compliance, inappropriate coding, denials and billable services • Ensures strict confidentiality of medical and financial records • Attends coding conferences, workshops and in-house sessions to receive updated coding and auditing information and regulatory changes