Under the general supervision of the Medical Records Director, assists in the maintenance of adequate health information systems in compliance with all applicable laws, standards and policies. The Coder accurately and thoroughly codes discharged patient medical records with the most recent addition of the Internal Classification of Diseases (ICD) code based on the documentation present within the medical record. The Coder assists in maintaining accurate patient databases, answers the departmental telephone and assists internal and external callers as required. The Coder demonstrates the consistent ability to maintain confidentiality and utilize the “minimum necessary” rule.
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Career Level
Mid Level
Education Level
High school or GED