Key Responsibilities:
Perform comprehensive clinical documentation improvement activities
Review and audit medical records for coding accuracy and compliance
Collaborate with clinical staff to ensure proper documentation practices
Support coding teams with IP coding guidance and audits
Identify opportunities to improve clinical documentation and coding processes
Requirements:
Minimum 3 years of experience as an Inpatient (IP) coder
Minimum 5 years of audit experience, preferably in clinical or medical coding audits
Strong knowledge of coding guidelines, ICD-10, CPT, and clinical documentation standards
Excellent analytical and communication skills
Ability to work independently and in a team environment