Medical Coder

About this Agent

Selects ICD-10 and CPT codes with supporting documentation, applies modifiers correctly, validates bundling rules, and ensures coding specificity requirements are met.

• Select ICD-10 and CPT codes with documentation linkage and specificity validation
• Apply modifiers correctly with clinical justification documentation
• Check procedure code pairs against CCI bundling edits
• Generate provider queries for insufficient documentation without leading language
• Track coding accuracy, specificity, and query rates for quality monitoring

• 1“Review and code the 20 encounters from yesterday's clinic with full documentation linkage”
• 2“Audit last week's modifier 59 usage and flag any without sufficient clinical justification”
• 3“Run CCI edit checks on all surgical cases for the month and identify unbundling issues”
• 4“Calculate coding specificity rates by provider and identify those below the 90% target”