• Ensures accurate coding and documentation of medical services, procedures, and diagnoses to support proper reimbursement and revenue generation • Assigns appropriate medical codes to diagnoses, procedures, and services based on detailed medical documentation • Reviews medical records, operative reports, and other relevant documents to accurately capture all billable services and ensure compliance with coding guidelines and regulations • Conducts coding audits and reviews to assess coding accuracy, compliance, and documentation completeness • Collaborates with revenue cycle management teams to optimize the coding process and ensure proper documentation for billing and reimbursement • Provides training and education to Revenue Cycle staff, healthcare providers, and other stakeholders to improve coding knowledge, accuracy, and documentation practices • Identifies areas for improvement and provides feedback to team members and key healthcare providers to enhance coding practices and ensure proper revenue capture • Utilizes leading-edge software, systems, and tools to support team activities, maintain data integrity, and generate accurate reports • Provides guidance, support, and mentorship, including junior team members by assisting with training initiatives, knowledge sharing, and performance evaluations to develop and enhance the skills development and competencies of the team

• Review and analyze medical records to accurately assign codes for diagnoses, procedures, and services • Ensure all codes are in compliance with coding guidelines and regulations • Communicate with healthcare providers to clarify documentation and obtain additional information as needed • Work closely with billing team to ensure accurate and timely submission of claims • Stay up-to-date on changes and updates to coding guidelines and regulations • Participate in coding audits and provide feedback for improvement • Maintain confidentiality of patient information and adhere to all HIPAA regulations • Collaborate with other team members to identify and resolve coding issues • Meet productivity and quality standards set by the company • Other duties as assigned by management

• The Professional Fee Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems • Following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives • Performs data entry of required abstracted patient information into the client’s information system • Queries physicians when appropriate and interact with Clinical Documentation staff as per account requirements • Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards • Assigns appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow • Abstracts and enters coded data and/or charges for physician statistical and reporting requirements • Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate • Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution • Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts • Maintains required productivity and quality requirements • Maintains coding credential requirements

• The Outpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems • Assigns appropriate ICD-10-CM, CPT, HCPCS codes and modifiers to facility-based Ancillary, Emergency Department, Observation, and/or Outpatient Surgery Accounts as per designated workflow • Abstracts and enters coded data and/or charges for hospital statistical and reporting requirements • Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate • Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution • Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts • Maintains required productivity and quality requirements • Maintains coding credential requirements