Responsible for reviewing outpatient medical records for documentation impacting coding assignment. Completes review of provider based medical records. Conducts follow up reviews. Prompts/queries physicians with regards to missing, unclear or conflicting medical record documentation surrounding HCC (Hierarchical Condition Category) diagnoses. Collaborates with coding staff to ensure accuracy of diagnostic data. Educates members of patient care team regarding documentation issues. Analyzes and trends data. Facilitates collaboration between physician, ancillary, and coding staff regarding medical record documentation. Requires Associates degree and current Illinois license for RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist). Requires 2 years of technical experience.
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