Job Description
Key Responsibilities
- Perform comprehensive clinical documentation improvement activities
- Review and audit medical records for coding accuracy and compliance
- Collaborate with clinical staff to ensure proper documentation practices
- Support coding teams with IP coding guidance and audits
- Identify opportunities to improve clinical documentation and coding processes
Requirements
- Minimum 3 years of experience as an Inpatient (IP) coder
- Minimum 5 years of audit experience, preferably in clinical or medical coding audits
- Strong knowledge of coding guidelines, ICD-10, CPT, and clinical documentation standards
- Excellent analytical and communication skills