You will review inpatient medical records and clinical documentation to support accurate coding and improve the quality of AI-generated clinical information. You will compare AI-generated notes and summaries with real documentation, apply current coding standards, and help resolve discrepancies.
Before applying, review the duties and qualifications to make sure they match your coding experience and credentials.
- Review inpatient records for accurate ICD-10 and CPT coding.
- Check clinical documentation for completeness, accuracy, and coding integrity.
- Evaluate AI-generated clinical notes and summaries against medical records and coding standards.
- Code AI-generated diagnostic and procedural information using ICD and CPT or HCPCS systems.
- Identify and resolve diagnosis and procedure coding discrepancies.
- Enter AI-generated patient information into computerized inpatient and outpatient medical record databases.