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Duties and Tasks
Clinical coders may perform the following tasks: - read and analyse medical records to help identify all diagnoses, operations and procedures relevant to the current period of patient care
- clarify inconsistent, doubtful or non-specific information in a medical record by consulting with the responsible medical practitioner
- allocate codes to patients' current period of care, using knowledge of the information contained within the International Classification of Diseases, 10th Revision, commonly referred to as ICD-10-AM
- conduct assessment of work to make sure that there is continuous improvement in ICD-10-AM coding and collection of quality health data
- assess the medical record content and highlight shortcomings to management
- maintain ICD-10-AM coding books to make sure they are updated to the current version being used
- assist with the education of clinical staff with regard to ICD-10-AM
- work with computing and finance staff
- assist with medical research and casemix (patient statistics) projects.
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Quick Facts
