Job Description

BASIC FUNCTION: 

Reviews patient medical records for relevant diagnostic and procedure information and assigns corresponding codes according to standard coding guidelines maintaining productivity. Assists with the maintenance of various patient indexes and databases. Provides patient information retrieval assistance to researchers and others as needed.

PRINCIPAL DUTIES: 

  • Researches medical record to develop the most complete codes for all diagnoses and procedures
  • Applies knowledge of anatomy, physiology, disease process and medical terminology to interpret the record and select accurate codes
  • Interprets and translates clinical documentation from the medical record into diagnostic and procedural codes; abstracts data into computer data base
  • Responsible for thoroughly knowing and utilizing all coding systems both inpatient and outpatient according to the most recent rules, regulations and conventions
  • Contracts physicians as necessary...

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