Responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans Reviews inpatient medical records to validate, assignment and sequencing of ICD-9-CM and ICD-10 diagnosis and procedure codes, discharge status codes, and DRG assignment. Provides a detailed rationale for every medical record review resulting in a DRG Review Results letter, including supporting references. Utilizes proper reference material, standards, and guidelines for coding.