• Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. • Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. • Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). • Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. • Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution. • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic.

• ensures the integrity and accuracy of facility and professional compliance audits • monitoring and provides compliance education for facility and professional documentation, coding, and billing • serves as a mentor for Compliance Auditors • assists management with the onboarding process for new Compliance Auditors • requires the use of judgement and critical thinking skills to determine appropriate corrective actions for non-compliance and ensure corrective actions are fully implemented by the entity service line area