Day-to-Day Responsibilities
Read physician notes, discharge summaries and procedure reports to identify the diagnoses and services documented.
Assign diagnosis codes (such as ICD-10) and procedure codes (such as CPT or HCPCS, depending on the payer) according to the coding rules.
Check that codes match the documentation and the payer's rules, and send queries to doctors when a record is unclear.
Prepare insurance claims and track rejected or denied claims so they can be corrected and resubmitted.
Keep up with updates to code sets and coding guidelines, which are revised regularly.
Protect patient confidentiality and follow health data privacy rules at all times.
Support internal audits and reporting for hospital billing or health statistics teams.


