Assign ICD‐10‐CM and ICD‐10‐PCS codes to inpatient diagnoses and procedures, ensuring accurate MS‐DRG or APR‐DRG grouping in accordance with official guidelines and internal policies.

Complete the appropriate number of coded records based on departmental productivity standards and accuracy requirements.

Abstract key clinical and demographic information from patient records to support billing, quality reporting, and regulatory compliance.

Utilize computer‐assisted coding (CAC) tools, encoders, and official coding references to support consistent and accurate code selection.

Initiate physician queries when documentation is incomplete, ambiguous, or unclear to ensure accurate code assignment and clarify clinical intent.

Collaborate with Clinical Documentation Improvement (CDI) professionals to enhance documentation quality and identify areas for physician education...