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Coder - Medical Records Job Description

 

 

 

Job Summary:

The Coder - Medical Records will be responsible for reviewing and collecting data from patients’ charts from the computer or from medical records or the nursing unit.

Job Description:

The Coder - Medical Records will perform all or some of the following Job description:

  • The Coder - Medical Records will check for data that appears inaccurate, ambiguous, incomplete, or missing

  • Verify the signatures of physicians in the charts to ensure the correct physicians are billed or credited for the patient’s treatment

  • Reconcile all information in the physical chart with what is stored in the computer profile

  • The Coder - Medical Records will assign ICD-9 codes to the events of the patient’s stay

  • Adhere to facility policies/guidelines (Dress code, attendance, etc)

  • The Coder - Medical Records will display positive attitude in all interactions with the facility staff, physicians, and co-workers

  • Follow security and confidentiality guidelines

  • The Coder - Medical Records will maintain a clean, orderly work area

  • He/She will perform other duties as assigned.             

Minimum Requirements / Knowledge / Skill For Coder - Medical Records Job

  • The Coder - Medical Records  should have good computer skills
  • He/She should be able to perform ICD-9 coding
  • Possess knowledge of medical and psych terminology. 

Minimum Education Requirements / Certification / Licensure For Coder - Medical Records Job

  • Associates Degree HIM or related field.


 

 

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