Job Description
Job Summary Reporting to the Sr. Medical Records Manager, the Medical Records Specialist is responsible for reviewing, processing, and maintaining medical record requests from clients and third parties following federal and state regulations. The Medical Records Specialist also participates in quality assurance activities such as internal chart audits, payor case management reviews, and document c
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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