• Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations • Sequences codes accurately for proper and optimal DRG assignment • Queries physicians or hospital staff as needed to ensure proper assignment of codes • Abstracts data from the medical records and assures that all required elements are appropriately entered into the hospital information system • Completes coding according to established time frame and ensures reduced DNFB accounts • Maintains excellent accuracy rate for proper sequencing of codes for proper DRG assignment per coding guidelines • Discusses medical record information with providers, quality, and CDI when necessary, in accordance with coding guidelines • Contacts providers or other staff to obtain missing documentation or signatures timely in an effort to reduce DNFB accounts • Abstracts data with a high accuracy rate in accordance with established policy • Adapts to changing department demands evidenced by higher department efficiency • Ensures compliance with medical coding policies and guidelines • Maintains productivity standards per established monthly goals • Performs other duties as assigned

• Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. • Adheres to all coding and compliance guidelines. • Utilizes appropriate coding software and coding resources in order to determine correct codes. • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. • Follows departmental policies for charge corrections. • Participates in coding educational opportunities (webinars, in house training, etc.). • Provides feedback to providers in order to clarify and resolve coding concerns. • Resolves assigned pre-billing edits. • Assists in identifying areas that require additional training. • Mentors and assists in training other coders and new team members • Performs other duties as assigned.

Dane Street is seeking experienced Board-Certified Neurological Surgeons to join our growing team of expert clinical reviewers. In this role, you will apply your Neurological Surgery expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. Your primary responsibilities will include reviewing medical records, preparing clear and concise clinical summaries, participating in peer-to-peer discussions when appropriate, and responding to specific questions from our clients related to neurological surgery care. Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations.

• Responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials • Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures • Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate • Use available tools to check entries for accuracy • Reconciles CCI and Medical Necessity edits