Job Description
Job Summary/Objective: The Medical Records Specialist is responsible for managing the medical records of the facility, including preparing, storing, and retrieving patient health records. The Medical Records Specialist reviews medical records for compliance with approved policies, is responsible for their completeness, proper release and maintenance. Works independently or as part of a medical rec
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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