• Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes. • Reviews the surgical documentation for accurate assignment of ICD-10 diagnosis, current procedural terminology (CPT-4) codes and modifiers. • Ensures appropriate coding of evaluation and management services when applicable. • Reviews surgical documentation to assign accurate CPT-4 procedure codes and appropriate modifiers for procedures in the operating room, as well as complex procedures performed in a procedure room. • Assigns primary and secondary ICD-10CM diagnosis codes. • Analyzes provider documentation to ensure the appropriate Evaluation and Management codes are assigned. • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity. • Reviews CCI edits, MUE edits, LCD and NCD coverage before chart finalization. • Contacts and collaborates with appropriate personnel for documentation insufficiencies and to expedite resolution of accounts. • Maintains level of expertise through continuing education. • Maintains appropriate productivity levels.