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- Researches and analyzes data for contract negotiations.
- Analyzes medical records and identifies documentation deficiencies.
- Serves as resource and subject matter expert to other staff.
- Reviews and verifies documentation supports diagnoses, procedures and treatment results.
- Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
- Follows coding conventions. Serves as coding consultant to care providers.
- Identifies discrepancies, potential quality of care, and billing issues.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
- Identifies reportable elements, complications, and other procedures.
- Assists lead or supervisor in orienting, training, and mentoring staff.
- Handles special projects as requested.
Assistant Manager EXL/AM/978844 - Noida, India - exl
Description
Job Description