• Responsible for accurately assigning ICD-10-CM and ICD-10-PCS codes to inpatient records in compliance with official coding guidelines and AHIMAs Standards of Ethical Coding • Abstracts key clinical information and ensures coding accuracy and completeness • Reviews medical records to assign accurate diagnostic and procedural codes • Ensures proper abstracting of required data, including discharge disposition • Maintains at least 95.5% coding accuracy for diagnoses and procedures • Prepares compliant retrospective physician queries as needed • Stays updated with AHA, CMS, and other regulatory coding guidelines • Resolves held accounts and communicates documentation issues to leadership

• Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications. • Insure compliance with PRO data reporting and other regulatory licensing and accrediting agencies.

• Review medical records to assign appropriate ICD-10, CPT, HCPCS codes accurately • Review physician documentation and perform audits to determine accuracy as needed • Meet and exceed acceptable productivity & quality standards • Review tasks and correct codes as needed • Work collaboratively with coding team to improve coding outcomes • Perform miscellaneous job-related duties as assigned

• Responsible for billing, coding, and resolving encounter forms from the clinics, surgery centers, and hospitals related to Balance Health • Identify and present improvement recommendations based on gathered knowledge and experience while working directly with the providers’ documentation and productivity • Assist in monthly audits • Determine and assess patient records, review accounts receivable activities, and collect payment • Responsible for communication with clinicians on a regular basis • Responsible for coding and billing accuracy to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices • Responsible for complete and accurate Patient Demographic Information • Follow up on rejected and/or unpaid claims according to standards • Regulatory Billing Practices Audit & Analysis • Determine accuracy of Insurance Payments and follow up on discrepancies • Run and build reports as required • Review and appeal unpaid and denied claims • Monitor A/R and Collections • Identify and bill secondary or tertiary insurances • Respond to patient and/or insurance companies billing questions • Execute work on assigned claim worklists, AR worklists, reporting, or projects • Communicate trends and root issues through proper lines of reporting • Provide support to medical providers and practice specialists as appropriate regarding coding compliance documentation • Meet productivity and Key Performance Indicator standards