Responsibilities
- Support the collection and verification of provider documentation for accurate clinical condition reporting
- Ensure documented clinical conditions reflect the true severity and complexity of patient health status
- Apply risk adjustment coding methodologies and perform quality assurance checks for accuracy
- Review medical records in real time to support prospective documentation integrity
- Code outpatient diagnoses concurrently with patient visits to ensure timely data capture
- Analyze medical records and provider feedback retrospectively to validate coding completeness