Job Description
The Director for Medical Records is responsible for the planning, organizing, leading, and controlling the activities and functions of Medical Records to effectively provide services for the financial and medical needs of the hospital. Direct oversite of the collection, organization, storage, and protection of patient health data (like diagnoses, histories, test results) to ensure its accuracy, se
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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