Identify the HIM professional position described: After discharge of a patient, I review the physician’s documentation, lab and radiology content and the entire patient medical record
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Get it written →Consider the following scenario and identify the HIM professional position described: After discharge of a patient, I review the physician’s documentation, lab and radiology content and the entire patient medical record. If I identify an incomplete diagnosis and treatment in physician documentation, I send a query to the physician to seek clarity in the patient record before coding and billing are completed.
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