1. Documentation & Provider Support * Partner with providers to ensure documentation supports accurate code selection and billing. * Assist with real-time or retrospective review of documentation, identify gaps, and suggest improvement strategies. * Educate providers on coding updates, payer policies, and documentation best practices. 2. Coding & Charge Reconciliation * Apply comprehensive knowledge of CPT, ICD-10, and E/M guidelines specific to OB/GYN services. * Review, edit, and reconcile daily charges to ensure accuracy and compliance before submission. * Verify that charges are correctly assigned to the appropriate HAR and encounter. 3. Operational Integration * Navigate workflows across both hospital and clinic environments to enable seamless documentation and billing. * Collaborate with clinical, scheduling, and front office teams to ensure operational alignment and efficiency. * Assist in developing processes to enhance coding and documentation workflows. 4. Revenue Integrity & Compliance * Partner with Revenue Integrity to identify trends, resolve coding and billing discrepancies, and ensure correct HB and PB submissions. * Assist in internal audits and implement corrective action plans. * Stay current on federal and state regulations, payer requirements, and organizational policies. 5. Training & Education * Provide education and support to both new and existing clinical and administrative staff on charge capture, coding updates, and documentation requirements. * Engage in ongoing coding training to maintain certification and stay informed about current regulations This position does not provide patient care.
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