Job Description
Description The Medical Records Specialist investigates and corrects deficiencies to ensure the accuracy, completeness, and regulatory compliance of medical record files and documentation. This role supports the healthcare team by reviewing and improving the content and accuracy of the medical record to accurately reflect the quality of care delivered and to support appropriate coding, billing, an
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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