Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. • Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. • Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes. • Works coding related charge review and claim edits daily to ensure timely and accurate billing. • Researches and resolves coding related issues, and assists in meeting productivity and quality standards. • Contacts other facilities to obtain medical records and information need to bill for services rendered. • Verifies fee tickets and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed. • Interacts with regulator classification agencies and patients when clarification and additional information is required for documentation. • Reviews charge documents for completeness. • Updates coding books with changes as accepted and published by regulatory agencies. • Performs all other duties as assigned. • Proficiency in ICD-10 and CPT coding. • In-depth understanding of medical terminology, anatomy and physiology. • Meticulous attention to detail and accuracy. • A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner. • Strong verbal, written and interpersonal communication skills. Education • High school diploma or GED is required. Licenses and Certifications • License and Certifications • CBCS Certified Billing and Coding Specialist (National Healthcareer Association) • RHIT Registered Health Information Technician (AAPC) • RHIA Registered Health Information Administrator (AAPC) • CCS Certified Coding Specialist (AAPC) • CPC Certified Professional Coder (AAPC)