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Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. Requires a high school diploma. The AAPC C more...
Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Maintains and up-to-date knowledge of coding and documentation requirements. Does not require a medical coding certification. Requires a high school diploma. Typically reports to a supervisor or manager. Works under the close direction of senior personnel in the funct more...
Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. May require an associate degree. The AAPC more...
Supervises and trains a team of medical coders to ensure medical records are coded with accuracy and completeness. Ensures medical records coding operations follow the latest guidelines and compliance standards. Maintains required documentation and confidentiality of patient records. Implements processes for coding operations that support the needs of other healthcare partners. Develops and maintains up-to-date knowledge of the latest ICD and CPT coding versions and ensures coders receive updates and training on classification or guideline changes. Is a certified medical coder and the exact ty more...
Researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Has broad knowledge of medical coding systems. May require a more...
The Manager of Medical Records Coding ensures the accuracy and timeliness of the coding process. Supervises and trains coding staff to ensure that the hospital receives appropriate reimbursement and conforms to applicable guidelines and regulations. Being a Manager of Medical Records Coding may require a bachelor's degree. Knowledge in ICD-10 and CPT-4 coding required. In addition, Manager of Medical Records Coding typically reports to top management. May require AAPC or AHIMA coding certification. The Manager of Medical Records Coding manages subordinate staff in the day-to-day performance of more...
The Medical Records Coding Trainer ensures the accuracy and timeliness of the coding process. Supervises and trains coding staff to ensure that the hospital receives appropriate reimbursement and conforms to applicable guidelines and regulations. Being a Medical Records Coding Trainer may require a bachelor's degree. Knowledge in ICD-10 and CPT-4 coding required. In addition, Medical Records Coding Trainer typically reports to top management. May require AAPC or AHIMA coding certification. The Medical Records Coding Trainer manages subordinate staff in the day-to-day performance of their jobs. more...
The Medical Records Coding Specialist II- Certified assigns required DRG (diagnosis-related grouping) codes. Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Being a Medical Records Coding Specialist II- Certified performs quality audits of work. Works with coding databases and software to input and maintain data according to standard procedures. In addition, Medical Records Coding Specialist II- Certified maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical cod more...
Researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Has broad knowledge of medical coding systems. May require a more...
The Medical Records Technician performs data entry, file maintenance, and other clerical processes. Organizes, files, and retrieves patient medical records. Being a Medical Records Technician fulfills information requests for retrieval and printing of medical records from storage or archives. Follows established policies and procedures to ensure effective and compliant record management. In addition, Medical Records Technician ensures the privacy and security of all patient records. Requires a high school diploma or equivalent. Typically reports to a supervisor. Being a Medical Records Technic more...
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