• Examines medical records to determine the proper ICD (diagnosis) and CPT (procedure codes) to be assigned • Utilizes coding tools & resources to verify the correctness of CPT and ICD codes assigned • Abstracts data including providers, injury info, quality measures, and others as needed • Maintains knowledge of current trends and practices in coding principles and government regulations through reading materials and/or attendance at educational meetings or seminars • Maintains appropriate certification • Communicates with coworkers and physicians to resolve and clarify questions and documentation discrepancies • Communicates risk management concerns to appropriate parties • Completes priority accounts (Holds) daily • Refers complex issues to designated work queues • Participates in coder specific training and education based on audit metrics and trends • Review and analyze content of medical record to accurately assign ICD diagnosis and procedure codes; CPT procedure codes and modifiers according to national coding guidelines, USACS policies and SOPs • Answer coding and abstracting questions from coding leadership, compliance, clinicians, etc • Maintain coding accuracy rate of ≥ 95% • Maintain coding productivity (Milestone based standards) rate of ≥ 95% • Maintain minimum of 15 CEUs per quarter either through Nthrive and/or other company sponsored webinars and programs • Accurately identify and enter core abstracting elements such as physician and APP attributions • Identify documentation trends and topics for education/feedback to physicians and APPs • Keep current with coding and industry changes through participation in educational opportunities

• Review medical records to identify pertinent diagnoses and procedures • Ensure appropriate DRG assignment • Enter charts coded in real-time throughout the scheduled shift • Solicit clarification from the physician regarding documentation • Participate in team meetings and training • Maintain knowledge of Coding Clinic and other coding guidelines

• Review medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter. • Assigns Evaluation & Management (E/M) level for emergency room encounters- facility and professional • Assign principal and secondary CPT codes and associated charges for procedures and injections/infusions performed in the emergency room • Assign appropriate modifiers to CPT codes based on hospital, payer, or state guidelines • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record. • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client. • Participates in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management. • Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting. • Maintains effective and professional communication skills. • Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.

• Schedule and coordinate patient appointments across two office locations • Manage appointment reminders to reduce patient no-shows • Reschedule appointments as needed while maintaining provider availability • Coordinate patient follow-ups and scheduling communications • Maintain accurate scheduling records across all systems • Process daily medical billing tasks • Follow up on unpaid and denied insurance claims • Assist with Revenue Cycle Management (RCM) activities • Identify and resolve claim denials to maximize reimbursements • Support billing documentation and account reconciliation • Verify patient insurance eligibility and benefits • Submit, track, and manage prior authorization requests • Access and download authorization information through the Optum portal • Maintain authorization tracking records and documentation • Coordinate with insurance companies regarding authorization approvals and updates • Handle inbound and outbound patient phone calls • Assist with patient follow-up communications • Update spreadsheets and patient information • Office Ally (primary practice management system) • Clearinghouse (for scheduling and patient information) • Square (for appointment holds/payment processing) • Optum (insurance portal with authorization access) • Custom spreadsheets for patient data, referral doctor information, test requirements, and authorization tracking • Basic phone system (traditional phone line)