▪️Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring compliance with CMS risk adjustment and quality guidelines.
▪️Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
▪️Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
▪️Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
▪️Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
▪️Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
▪️Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
▪️Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
▪️Maintain confidentiality and ensure full compliance with HIPAA regulations.