• Compliance & Accuracy: Ensure strict adherence to national and international coding guidelines-including ICD-10-CM, CPT, and HCPCS Level II-as well as HIPAA and payer-specific regulations.
• Quality Assurance & Auditing: Oversee internal coding audits, track error and denial trends, and implement corrective action plans to protect the organization's financial and regulatory integrity.
• Policy & Workflow Development: Establish and update standard operating procedures (SOPs), workflow designs, and quality control frameworks.