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clinical coder

Clinical coders turn information from patient records into health classification codes used for reimbursement, statistics and performance monitoring.

Overview

They read medical records, interpret statements about diseases, injuries and procedures, and code the information in electronic record or classification systems. The work depends on medical terminology, confidentiality and careful document handling.

In job descriptions, look for clinical coding, patient records, medical terminology, electronic health records, confidentiality, healthcare documentation, coding guidelines, statistics and health records management.

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