Under general direction reviews and researches patient medical records in order to describe reason for admissionvisitcare treatment rendered surgical procedures performed and diagnoses at discharge Identifies and documents reason for care sequence of events therapies procedures and diagnoses by applying appropriate codes from diseases and procedure coding classifications such as ICD10 CM PCS CPT 4 etc and using associated guidelines and rules for the level and type of care received by the patient In coordination with physician nursing and other clinical staff ensures that data is complete and ...
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