Review medical records to ensure accurate assignment of Ambulatory payment classification (APC) codes and appropriate billing practices.
Multi specialty exposure like podiatry, musculoskeletal, ophthalmology, neurosurgery, internal medicine Identify discrepancies, errors or potential fraud in coding and billing practices.
Analyze coding trends and patterns to identify areas for improvement or potential risks. Collaborate with stakeholders to address coding and billing issues and improve documentation practices.
Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes.
Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions.
Stay current with updates to coding guidelines, regulations and industry best practices.
Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices.