Job Description
Audits the Epic chart for Perioperative Services Main Campus (Main OR, OPSC and OCIR) and Community Health (Haymarket and Prince William) patients the day after surgery to ensure accuracy and completeness of key fields used for reporting and to generate OR charges. Work collaboratively with nursing staff for necessary corrections to documentation and follow-up to ensure corrections are made to the
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart — a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
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