NewInpatient Medical Coder # 26-17687 US Tech Solutions, Inc.Inpatient Medical Coder # 26-17687Columbia, SCCreates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Medical Coder (SC Upstate Residents) OB Hospitalist Group IncMedical Coder (SC Upstate Residents)Greenville, SCRemote$21–$27 / hourWhy Join OBHG: Join the forefront of womens healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
Professional Medical Coder I Lexington Medical CenterProfessional Medical Coder IWest Columbia, SCRemoteRequired Certifications/Licensure: Licensure, Registry, or Certification Required (AAPC or AHIMA coding credential required and/or specialty certification, as approved by Director); A CCA or CPC-A will only be eligible for those who have successfully completed the coding fellowship. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina.
Professional Medical Coder II Lexington Medical CenterProfessional Medical Coder IIWest Columbia, SCRemoteRequired Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements; Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); Experience with electronic health records software; E/M Documentation Guideline (1995/1997/2021) experience. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)SC$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Ophthalmology Medical Biller & Coder Carolina Macula and RetinaOphthalmology Medical Biller & CoderCharleston, SC$20–$25 / hourThis role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up.
Hospice Medical Coder Your Health OrganizationHospice Medical CoderRock Hill, SCWe are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Provide support to the team by performing general administrative tasks, utilizing software systems effectively, and assisting other staff members as needed to enhance patient care and staff efficiency.
Certified Coder/Analyst Nuvance HealthCertified Coder/AnalystGreer, SCEducation Skills Experience: Associate degree or equivalent Knowledge of ICD-10, CPT-4, Disease Pathology, Anatomy, Physiology and Medical Terminology Advanced knowledge of Evaluation and Management Coding guidelines 6 years of coding experience Familiarity with MS Office applications Usage of coding manuals and regulatory websites for research Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification required. 2. Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines 3. Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)SC$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)SCRemoteDemonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.
NewTrauma Surgical Profee Coder HCA Healthcare IncTrauma Surgical Profee CoderCharleston, SCYou will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Submit your application for the opportunity below: Trauma Surgical Profee Coder Job Summary and Qualifications As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty.
NewInpatient Coder/Abstractor Sr - Health Information Management McLeod HealthInpatient Coder/Abstractor Sr - Health Information ManagementSCJob Summary: The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.
Coder II - Hospital AnMed HealthCoder II - HospitalAnderson, SCLocated in the heart ofAnderson, South Carolina,AnMedis a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. Whether youre just starting your career or looking to grow in a new direction, youll find opportunities to thrive, lead, and make a meaningful impact here.
Ambulatory Coder II Professional Billing, FT, Days, Prisma HealthAmbulatory Coder II Professional Billing, FT, Days,Greenville, South CarolinaResponsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
NewCoder II-3 Medical University of South CarolinaCoder II-3Charleston, SCKey Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM/PCS and CPT-4 classification systems in accordance with official coding guidelines from the American Medical Association (AMA), American Hospital Association (AHA), American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). The Coder II at the Medical University of South Carolina is responsible for the accurate assignment of diagnostic, procedural, and condition codes for all inpatient, outpatient, and emergency service encounters based on documentation within the patient medical record.
Coder II-5 Medical University of South CarolinaCoder II-5Charleston, SCUnder the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association.
NewCoder II *Remote* Medical University of South CarolinaCoder II *Remote*Charleston, SCRemoteUnder the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.
NewCoder II-3 MUSCCoder II-3South CarolinaAssign diagnostic and procedural codes using ICD-10-CM/PCS and CPT-4 classification systems in accordance with official coding guidelines from the American Medical Association (AMA), American Hospital Association (AHA), American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). The Coder II at the Medical University of South Carolina is responsible for the accurate assignment of diagnostic, procedural, and condition codes for all inpatient, outpatient, and emergency service encounters based on documentation within the patient medical record.
NewCoder II *Remote* MUSCCoder II *Remote*Charleston, South CarolinaRemoteUnder the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.
Coder II Medical University of South CarolinaCoder IICharleston, SCClassification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.
Coder II MUSCCoder IISouth CarolinaClassification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record.
Ambulatory Coder III, FT, Days, Prisma HealthAmbulatory Coder III, FT, Days,Greenville, South CarolinaCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
Ambulatory Coder III, ENT, FT, Days, Prisma HealthAmbulatory Coder III, ENT, FT, Days,Greenville, South CarolinaCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
Ambulatory Coder III, ENT, FT, Days, - Remote Prisma HealthAmbulatory Coder III, ENT, FT, Days, - RemoteGreenville, SCRemoteCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician''s office/clinic settings.
Ambulatory Coder II Professional Billing, FT, Days, - Remote Prisma HealthAmbulatory Coder II Professional Billing, FT, Days, - RemoteGreenville, SCRemoteResponsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
Ambulatory Coder III, FT, Days, - Remote Prisma HealthAmbulatory Coder III, FT, Days, - RemoteGreenville, SCRemoteCommunicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician''s office/clinic settings.
Health Information Management Inpatient Coder, FT, Days, Prisma HealthHealth Information Management Inpatient Coder, FT, Days,Columbia, South CarolinaPerforms Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures.
Health Information Management Inpatient Coder, FT, Days, - Remote Prisma HealthHealth Information Management Inpatient Coder, FT, Days, - RemoteColumbia, SCRemotePerforms Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures.
NewInpatient Coder/Abstractor - Health Information Management McLeod HealthInpatient Coder/Abstractor - Health Information ManagementSCJob Summary: The Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the smaller McLeod Health facilities representing less complex medical/surgical encounters. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.
NewMedical Coding Educator Humana IncMedical Coding EducatorSCRemote$59,300–$80,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Front Desk Medical Biller Kirar Superior HealthcareFront Desk Medical BillerLadson, South CarolinaWe at Kirar Superior Healthcare transform the health of our community by helping people move freely, heal naturally, and live fully for 100 years through chiropractic care.”. This role ensures that all services provided by Kirar Superior Healthcare are coded correctly, billed promptly, and compliant with applicable regulations.
Medical Billing /Coding Specialist Rural Healthcare ServicesMedical Billing /Coding SpecialistAiken, SCUnder the direction of the RMCM our medical coding & billing specialist's daily duties will include maintaining billing software, appealing denied claims, and recording payment, claims follow up, and denial resolution. Essential Functions/Responsibilities: Processes billings to patients and third-party reimbursement claims; maintains supporting documentation files and current patient addresses.
NewAuditor, Quality Medical Paladin Consulting, Inc.Auditor, Quality MedicalColumbia, SC$36 / hourSkills: Required Training: Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Codi. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
Systems Software Programmer Consultant InterSources Inc.Systems Software Programmer ConsultantColumbia, SCInterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. Job Overview: The consultant will serve as a medical coding SME , supporting CPT/HCPCS and ICD-10 code maintenance, researching coding changes, analyzing business rules, working with Medicaid program stakeholders, and supporting current and future MMIS enhancements.
IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding Specialist InterSources Inc.IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding SpecialistColumbia, SCRemoteInterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. Job Title: IT Healthcare Consultant – Business Analyst - Advanced (Clinical Analyst & Coding Specialist) ( 11013).
NewClinical Analyst & Coding Specialist - Contract - Columbia, SC SUNSHINE ENTERPRISE USA LLCClinical Analyst & Coding Specialist - Contract - Columbia, SCColumbia, SCThe consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives.
NewClinical Analyst & Coding Specialist - Contract - Columbia, SC Sunshine Enterprise UsaClinical Analyst & Coding Specialist - Contract - Columbia, SCColumbia, South CarolinaThe consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives.
NewClinical Analyst & Coding Specialist Sunshine Enterprise USAClinical Analyst & Coding SpecialistColumbia, South CarolinaThe consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives.
Professional Coding Auditor-Educator West Virginia University MedicineProfessional Coding Auditor-EducatorSCEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
CODING SPECIALIST II Conway Medical CenterCODING SPECIALIST IIConway, SCEach employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled. Position Summary:The Coding Specialist II (CS II) will use ICD and CPT and specialize in medical classification software to assign procedure and diagnosis codes for insurance billing for Conway Medical Center (CMC).QualificationsEducation:High school diploma required.
IT Healthcare Consultant - Business Analyst - Advanced Lumen Solutions Group, Inc.IT Healthcare Consultant - Business Analyst - AdvancedColumbia, SCRemoteAccess to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology.*** . Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
IT - SCDHHS - IT Healthcare Consultant - Business Analyst - Consultant Abacus Service CorporationIT - SCDHHS - IT Healthcare Consultant - Business Analyst - ConsultantColumbia, SCBy applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from and its affiliates, and contracted partners. Are you an experienced IT healthcare professional looking to make a significant impact in the healthcare sector?
Billing/ Coding Administrator Carolina Macular and Retinal CareBilling/ Coding AdministratorMount Pleasant, SC$20–$25 / hourJoin a physician-led retina practice where your coding expertise directly impacts patient care and practice performance. This role offers stable hours, a small team environment, and the opportunity to expand your skills beyond routine charge entry.
Senior Director, Healthcare Risk Management & Advisory | Forensic and Litigation Consulting FTI Consulting IncSenior Director, Healthcare Risk Management & Advisory | Forensic and Litigation ConsultingColumbia, SCOur multi-disciplinary team is comprised of consultants with expertise in data analytics, finance, accounting, economics, information technology and healthcare operations and regulations, and includes former healthcare executives and medical practitioners all of whom are focused on delivering meaningful results in order to manage change, mitigate risk, ensure compliance, resolve disputes, execute significant business transactions and improve performance. The healthcare industry is one of the largest, most dynamic, and complex sectors of the world economy and the HRMA team delivers strategic, analytical, financial, data mining and operational expertise through teams who understand the unique industry and regulatory environment in which our clients operate.
NewCharge Master Analyst Sutter HealthCharge Master AnalystSC$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Coding Specialist Spartanburg Regional Healthcare SystemCoding SpecialistSpartanburg, SCThe Specialist Coder is under the direction of the Director of Health Informatics, performs duties related to the record processing operation of the Medical Records Department. Completed BS, AS or correspondence program in health information field or other health care program with strong skills in medical terminology and courses in anatomy/physiology.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Charleston, SCRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusColumbia, SCRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTColumbia, SCRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewClinical Documentation Specialist GuidehouseClinical Documentation SpecialistSouth CarolinaInitiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “ Managing an Effective Query Process ,” October 2008 and “Guidance for Clinical Documentation Improvement Programs” , May 2010). Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant.