• Works as a consulting team member on client or internal assignments • Handles escalated coding related projects, new services, regulatory updates and overall coding quality • Provides coding education to various groups such as coders, billers, nurses, physicians, etc. • Participates in hospital revenue cycle assessments and process improvement engagements • Prepares appropriate written reports to include findings and recommendations • Conducts periodic status checks with the clients and project team to assess progress against plan • Oversees and provides training and mentoring to help team members increase their effectiveness

• Provides safe, quality health care services & / or assistance to patients under the supervision & direction of a registered nurse or other designated health care professional • Performs clinical care activities (direct or indirect) for patients within the “scope of practice” laws & training received • Cares for patients safely by assisting in clinical care services or engaging in administrative activities • Communicates effectively and respectfully • Performs work in a safe, engaging, & supportive manner • Maintains knowledge of applicable federal, state & local laws • Performs nursing interventions or clinical knowledge application in decision-making • May administer medication & carry out therapeutic treatment within scope of license • Advocates for patients & informs patients and families about care details • Collaborates with Revenue Integrity team on opportunities to improve & implement front-end process to support denial prevention

• The Auditor conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational guidelines. • Coordinate and oversee the coder onboarding process for assigned clients. • Monitor and enforce compliance and quality program. • Provide project status reports to operational leadership, as requested. • Ensure IKS Health's compliance with all regulatory agencies. • Attend internal and external meetings, as needed and requested to provide input and act as a coding information resource/expert.

• Responsible for leading coding teams, coder training, work queue management, performing prebill and second-level coding reviews utilizing auditing tools and applicable software. • Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. • Employs critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. • Maintains knowledge of CPT and HCC documentation requirements to ensure correct code assignment. • Performs outpatient coding by assigning ICD-CM, CPT codes and appropriate modifiers. • Reviews and responds to outpatient level denials as needed. • Conducts review of outpatient records to include, GI, outpatient surgery, emergency department records, observation, diagnostic, Interventional Radiology and other identified records to validate the code assignment according to official coding guidelines as supported by the clinical documentation in the record. • Monitors and maintains work queues daily to identify, prioritize and assign accounts that need to be coded based on department-specific guidelines and within designated timelines coordinating with leadership. • Mentors and trains coders on application of correct ICD-CD and CPT guidelines. • Assists with and develops educational programs for coding staff, clinical documentation staff and medical staff to including yearly coding/CPT updates. • Codes outpatient records periodically based on review of clinical documentation. • Identifies physician query opportunities following established guidelines when existing documentation is unclear or ambiguous following American Health Information (AHIMA) guidelines and established policy. • Identifies and assists management with the resolution of coding issues, process improvement and system testing for Health Information Management (HIM) applications. • Participates in on site, remote and/or external training workshops and training. • Maintains working knowledge of Centers for Medicare & Medicaid Services (CMS) regulations and applicable carrier local medical review policies. • Collaborates with Coding leadership to develop and maintain coding curriculum and training handbook. • Interacts and assists with other departments to resolve coding issues. • Performs other duties as assigned.