Description
This role focuses on planning, monitoring, directing, and evaluating QA production daily, ensuring timely completion of schedules and communicating with leadership when delays occur. The individual reviews medical record documentation for accurate ICD-9-CM and CPT-4 coding, sequences diagnoses and procedures according to coding guidelines, and ensures proper MS-DRG/APC assignment. They also abstract and compile data for reimbursement, answer queries, meet sampling targets, and document QA data for reporting and training. Responsibilities include coordinating quality meetings, assisting with project launches, and providing guidance and mentorship to coders.
