Insurance Executive

Overview

• The incumbent checks and sequences the most accurate ICD-9/ ICD10- CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information.
• Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
• Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
• Evaluates the record for documentation consistency and adequacy.
• Ensures that the final diagnosis accurately reflects the care and treatment rendered.
• Computes and gives the correct DRG coding all inpatients cases.
• Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
• Analyzes doctors’ documentation to assure the appropriate Evaluation &
• Ensures coding is as per HAAD guidelines and regulations.
• Provides feedback to Doctors regarding coding errors or oversights.
• Constantly updates to the latest coding versions and HAAD coding directives.
• Management (E & M) levels are assigned using the correct CPT code.