Provides assessment of all medical record documentation to ensure that a complete and thorough accounting of the patient's status of health/severity of illness is captured and to ensure the coding within the medical record is comprehensive and complete.
Supports Clinical Health Services, Nurse Practitioners, Service Center staff through compliant communication regarding the clinical documentation of a member visit using a diverse set of concurrent medical record review skills, clinical knowledge, and knowledge of coding and reimbursement regulations.
Experience / Education
Licensure / Certification
Physical Demands / Working Conditions