A coding consultant reviews medical documents such as charts and then inputs codes into a database that correspond to various treatments and diagnoses. They must enter all codes using standardized coding classifications and within their institution's guidelines for reporting. Coding consultants should make suggestions on how to improve coding and documentation as needed, and they also need to work effectively with other healthcare professionals, including managers and medical staff, on reimbursement and other issues. At all times, coding consultants must follow all institution and professional guidelines related to confidentiality and ethics.
This job may be performed in a hospital or clinical environment, an office or even at home through remote work. Some coding consultant positions have fixed hours, while others allow for flexibility; some jobs are carried out on an as-needed basis, while others are fixed positions.
Requirements for coding consultants often include previous relevant experience, status as a registered health information administrator (RHIA) or registered health information technician (RHIT), and a bachelor's degree in health information management. Strong typing skills and proficiency with basic computer programs are required as well. Additionally, coding consultants should have a strong knowledge of medical codes, as well as be able to work accurately and effectively with minimal supervision.
Coding Consultant Tasks
Audit and review the medical record and coding process.
Develop and implement records management program for filing, coding, and billing; ensuring compliance with regulations.
Prepare manuals and train staff on coding compliance policies, guidelines, data quality and requirements.
Document audit findings and prepare recommendations for improving the coding process.