• Review medical records and determine if they are complete and accurate • Ascertain that medical records are in support of individual risk adjustment score accuracy • Provide education to providers regarding Medicare coding guidelines, focusing on revenue enhancement opportunities • Develop plans and materials to support education and system changes, to meet both practice and revenue goals • Synthesize data and questions in a bid to communicate a
cohesive educational training program • Punch in codes for medical services rendered, ensuring the accuracy of each enter in the database • Review medication list to verify if there is a correlating condition and if conditions are still being treated • Review all specialist and hospital consults and
lab or pathology
reports for new and more specific conditions