Abstracting and Coding information from provider patient medical records and hospital ancillary records per facility and/or state requirements.
Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-10 CM coding guidelines.
Querying client when code in the record is inadequate, ambiguous or unclear for coding purposes.
Evaluate and interpret the cause of denied/rejected claims and initiate timely refiling in line with payer-specific coding guidelines, in order to ensure optimal reimbursement