Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and ICD
10 PCS procedure codes, leading to the assignment of the correct Medicare Severity - Diagnosis Related
Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG)

Correctly abstract required data per facility specifications

Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed
claims, stop bills, and as a team, ensure timely, compliant processing of inpatient accounts through the
billing system

Responsible to ensure accuracy and maintain established quality, productivity standards, and key
performance indicators established for 3M 360 or for eCAC

Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well
as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable,
National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the
addition of appropriate modifiers to ensure a clean claim the first time through.