clinical-coder/references/tasks.md

Tasks & work activities — clinical coder

Source: O*NET 30.3, occupation 29-2072.00 (Medical Records Specialists) — manual nearest-occupation mapping via ISCO group 3252; the official ESCO crosswalk has no entry for this ESCO occupation.

Task statements

• [nan] Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
• [nan] Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
• [nan] Consult classification manuals to locate information about disease processes.
• [nan] Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
• [nan] Identify, compile, abstract, and code patient data, using standard classification systems.
• [nan] Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
• [nan] Post medical insurance billings.
• [nan] Process and prepare business or government forms.
• [nan] Process patient admission or discharge documents.
• [nan] Protect the security of medical records to ensure that confidentiality is maintained.
• [nan] Release information to persons or agencies according to regulations.
• [nan] 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.
• [nan] Retrieve patient medical records for physicians, technicians, or other medical personnel.
• [nan] Review records for completeness, accuracy, and compliance with regulations.
• [nan] Scan patients' health records into electronic formats.
• [nan] Schedule medical appointments for patients.
• [nan] Transcribe medical reports.

Detailed work activities

• Classify materials according to standard systems.
• Code data or other information.
• Collect medical information from patients, family members, or other medical professionals.
• Communicate with management or other staff to resolve problems.
• Enter patient or treatment data into computers.
• Maintain medical facility records.
• Maintain medical or professional knowledge.
• Maintain security.
• Monitor medical facility activities to ensure adherence to standards or regulations.
• Perform clerical work in medical settings.
• Prepare official health documents or records.
• Process healthcare paperwork.
• Process medical billing information.
• Record patient medical histories.
• Schedule appointments.
• Schedule patient procedures or appointments.