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A clinical coder—also known as clinical coding officer, diagnostic coder, medical coder, or nosologist—is a health information professional whose main duties are to analyse clinical statements and assign standardized codes using a classification system.
While medical billing and medical coding are closely related and often go hand-in-hand, they serve distinct functions in the healthcare industry. Medical coders are responsible for translating healthcare services, diagnoses, and procedures into standardized codes used for billing purposes. These codes ensure that healthcare providers receive ...
For this reason, a clinical officer is the officer in-charge of a health center or a district hospital and is part of the medical team in bigger hospitals where one may head a department or work under a senior clinical officer or a physician. [24] [25] [26]
The AAPC was founded in 1988, [6] as the American Academy of Professional Coders, with the aim of providing education and certification to coders working in physician-based settings. These settings include group practices and specialty centers (i.e. non-hospital settings).
Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...
Further, while average hospital discharges remained stable, hospital costs rose from $9,100 in 2003 (equivalent to $15,072 in 2023 [31]) to $10,600 in 2011 (equivalent to $14,357 in 2023 [31]) and were projected to be $11,000 by 2013 (equivalent to $14,388 in 2023 [31]). [134]
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