MEDICAL CODING
Medical coding is the process of extracting health care information from a patient's physician's notes, such as medical procedures, diagnoses, essential medical equipment, and medical services. This information is converted into universal medical alphanumeric codes by a medical coder.
Responsibilities of a Medical Coder includes :
- Accounts for patient encounter coding and abstracting, including diagnostic and procedural information, key reportable elements, and complications.
- Investigates and analyses data requirements for reimbursement.
- Analyses medical records and discovers gaps in documentation.
- Serves as a resource and subject matter expert to other members of the coding team.
- Examines and confirms paperwork that supports diagnoses, procedures, and treatment outcomes.
- Recognizes diagnostic and procedural data.
- Audits clinical paperwork and coded data to ensure that the documentation supports the services provided for reimbursement and reporting.
- Using criteria, assigns codes for reimbursements, research, and regulatory compliance.
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