JOB SUMMARY: Responsible for performing in-depth reviews of both internally and externally coded outpatient medical records/accounts to determine the completeness and accuracy of ICD-9-CM diagnostic coding and sequencing, CPT-4 and HCPCS procedural coding assignment, and appropriate modifier appendage in order to ensure that assigned codes are supported by corresponding clinical documentation and appropriate reimbursement is gained. Determinations regarding the timeliness and appropriateness of claim edit responses will also by monitored, addressed, and reported. Responsible for providing ongoing education to coders, physicians, and other staff while also serving in an advisory role for coding and regulatory compliance.