• Reviewing documentation and selecting the appropriate procedure and/or diagnosis code for billing documents • Ensuring teaching physician requirements are met and clearly reflected in the documentation • Other duties as assigned

• Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. • Ensures adherence to Hospital and Departmental Policies and Procedures. • Reviews patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS). • Abstracts data essential to the QI department. • Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. • Takes responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded. • Resolves any and all pre-bill edits, denials, etc for assigned accounts. • Maintains and disseminates up-to-date technical knowledge of legal and regulatory information. • Participates in all departmental in-services and updates to stay current with accepted coding guidelines.

• Contribute to provide excellent care in surrounding communities. • Grow professionally within an excellent patient care environment.

• Perform inpatient coding for medical records • Collaborate with healthcare professionals to ensure accurate coding • Review and analyze clinical documentation for coding compliance