medical coder(redirected from Clinical coder)
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medical coderA person who assigns numeric codes to represent diagnoses and procedures, describe patient treatment and delineate fees for health services, based on an official classification system (e.g., CPT-4, ICD-9/10, HCPC). MCs are responsible for evaluating documentation to assure correct code selection for compliance with federal regulations and insurance requirements.
Medical coders work in hospitals, insurance companies and physician offices under the supervision of the health information manager or chief fiscal officer; some are self-employed and contract for their services. Their work is used by risk managers, utilisation review, quality assurance, case management, clinical managers, and other healthcare providers.
2-year associate's degree encompassing knowledge of medical terminology, anatomy and physiology; working knowledge of HCPC, ICD, and CPT codes.