Medical Coder
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Medical Coder
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BACKGROUND Efective January 1 2021 substantive changes were made to the Evaluation and Management E M services Current Procedural Terminology CPT 174 code set and reporting guidelines to reduce documentation burden on physicians and simplify coding Documentation for E M ofice visits is now based on medical decision making MDM or total time spent on the Mar 27 2025 nbsp 0183 32 Both systems require all physicians including medical residents to express the facts of the record in a precise and coherent manner A medical coder is not a diagnostician and may not interpret or read into the medical record It is crucial that physicians be clear detailed and concise when documenting notes the module

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