Completes initial patient medical record review within 24-48 hours of patients admission; Completes subsequent reviews of patients medical record reviews every 24-48 hours and enters review findings in CDE software system; Assigns Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house; Assigns working ICD-10-CM and PCS codes and DRG (Diagnosis Related Group) using encoder in CDE software; Clarifies with physicians regarding missing, unclear, unsupported or conflicting health record documentation by requesting and obtaining additional documentation from physicians when needed; Face to face physician interaction and written clarifications are used; Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record; Partners with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine the working and final DRG assignment; Reviews DRG denial letters and writes denial appeal letters; Collaborates with care coordination, nursing staff and other ancillary staff regarding interaction with physicians on documentation and to resolve physician clarifications prior to patient discharge; Maintains and upholds all clinical documentation regulatory guidelines; Formulates and submits timely, well prepared appeals for reconsideration by third party administrators (payors). We are a Five-time winner of "Best in KLAS" 2020-2022, 2024-2025, Black Book Researchs Top Revenue Cycle Management Outsourcing Solution 2021-2022, and Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024.