Job Description
As the medical records specialist, you uphold patient confidentiality and rights, maintaining a well-organized system of open and closed medical records.: You will: * Assemble and label the admission records assuring chart tabs are readable * Maintain records in proper order per open chart format * Provide diagnostic and treatment information to third-party payers to support reimbursement claims *
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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