At a glance
الوصف Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.
- Certified Coding Specialist
- Certified Medical Coder
- Certified Professional Coder (CPC)
- Clinical Documentation Specialist
- Clinical Office Technician (Clinical Office Tech)
- Coder
- Coding Specialist
- Disability Rater
- Electronic Health Records Specialist (EHR Specialist)
- Fee Coder
- Health Informatics Specialist
- Health Information Clerk
- Health Information Coder
- Health Information Management Hospital Coder (HIM Hospital Coder)
- Health Information Management Inpatient Coding Auditor (HIM Inpatient Coding Auditor)
- Health Information Management Technician (HIM Tech)
- Health Information Specialist
- Health Information Systems Technician (Health Information Systems Tech)
- Health Information Technician (Health Information Tech)
- Health Record Technician (Health Record Tech)
Alternate titles
- Health Records Technician
- Health Services Information Specialist
- Inpatient Coder
- Insurance Coder
- Medical Administrative Specialist
- Medical Administrative Technician (Medical Administrative Tech)
- Medical Bill Coder
- Medical Biller
- Medical Biller Coder
- Medical Billing Coder
- Medical Billing Specialist
- Medical Claims Processor
- Medical Coder
- Medical Coding Specialist
- Medical Coding Technician (Medical Coding Tech)
- Medical Insurance Coder
- Medical Insurance Coding Specialist
- Medical Office Technician (Medical Office Tech)
- Medical Record Assistant
- Medical Record Coder
- Medical Record Specialist
- Medical Records Clerk
- Medical Records Coordinator
- Medical Records Custodian
- Medical Records Specialist
- Medical Records Technician (Medical Records Tech)
- Medical Reimbursement Specialist
- Medical Scribe
- Outpatient Coder
- Patient Administration Specialist
- Registered Health Information Technician (RHIT)
- Release of Information Specialist
- ROI Medical Records Specialist (Release of Information Medical Records Specialist)
A day in the life
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- Conventional: Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.
- Investigative: Work involves studying and researching non-living objects, living organisms, disease or other forms of impairment, or human behavior. Investigative occupations are often associated with physical, life, medical, or social sciences, and can be found in the fields of humanities, mathematics/statistics, information technology, or health care service.
- Social: Work involves helping, teaching, advising, assisting, or providing service to others. Social occupations are often associated with social, health care, personal service, teaching/education, or religious activities.
Work interests
- Realistic: Work involves designing, building, or repairing of equipment, materials, or structures, engaging in physical activity, or working outdoors. Realistic occupations are often associated with engineering, mechanics and electronics, construction, woodworking, transportation, machine operation, agriculture, animal services, physical or manual labor, athletics, or protective services.
- Enterprising: Work involves managing, negotiating, marketing, or selling, typically in a business setting, or leading or advising people in political and legal situations. Enterprising occupations are often associated with business initiatives, sales, marketing/advertising, finance, management/administration, professional advising, public speaking, politics, or law.
- Artistic: Work involves creating original visual artwork, performances, written works, food, or music for a variety of media, or applying artistic principles to the design of various objects and materials. Artistic occupations are often associated with visual arts, applied arts and design, performing arts, music, creative writing, media, or culinary art.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Consult classification manuals to locate information about disease processes.
Work tasks
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
- Identify, compile, abstract, and code patient data, using standard classification systems.
- Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
- Post medical insurance billings.
- Process and prepare business or government forms.
- Process patient admission or discharge documents.
- Protect the security of medical records to ensure that confidentiality is maintained.
- Release information to persons or agencies according to regulations.
- Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
- Retrieve patient medical records for physicians, technicians, or other medical personnel.
- Review records for completeness, accuracy, and compliance with regulations.
- Scan patients' health records into electronic formats.
- Schedule medical appointments for patients.
- Transcribe medical reports.
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Education & Training
Education Postsecondary non-degree award
Licensing Some professions require a specific license to work in Maine. For information on any licensing requirements for this and other occupations, visit the Maine Office of Professional and Financial Regulation.
Training None
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Regional Occupation Data
Data provided by CWRIتفاصيل وصف الوظيفة وبيانات الأجر والطلب لهذه المهنة مقدمة من CWRI, ONET, و Career Onestop.
التدريبات ذات الصلة
- University of New England
Method of Delivery- University of Maine at Machias
Training Type برنامج النقلAddress- University of Maine at Augusta
Training Type Certificate (Undergraduate)Address- University of Southern Maine
Training Type شهادة (جامعية)Address- Central Maine Community College
Training Type Associate of Applied ScienceAddressMethod of Delivery- Central Maine Community College
Training Type CertificateAddressMethod of Delivery- Kennebec Valley Community College
Training Type Associate of Applied ScienceAddress- Central Maine Community College
Training Type CertificateAddress- Central Maine Community College
Training Type Associate of Applied ScienceAddress