Coder

Trained individual who has obtained a skill in classifying medical data from patient records. A coder translates the written diagnoses, treatments, and procedures into numeric and alphanumeric codes for submission on insurance claims to insurance carriers for reimbursement. In medical office settings, the coder may extract these data from patient encounter forms and patient records.

Coding

1. Process of translating written descriptions into numerical and alphanumerical codes. 2. Choosing codes from numerical and alphanumerical systems that identify and describe a patient’s diagnosis, as well as medical, surgical, and diagnostic procedures and services such as ICD-9-CM, CPT, and HCPCS.
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A method of putting information into a numerical form for statistical us. Most information on policies is coded and then put into reports.

Coding conventions

Rules or principles for determining a diagnostic code when using diagnostic code books such as each space, typefaces, indentations, punctuation marks, instructional notes, abbreviations, cross-reference notes, and specific usage of the words and, with, and due to. These rules assist in the selection of correct codes for the diagnoses encountered. Also see conventions.

Coding guidelines

1. Official policies published by the Centers for Medicare and Medicaid Services (CMS) that tell how procedure codes are to be assigned by providers when submitting insurance claims for patients who have received medical services. 2. Official rules for assigning ICD-9-CM diagnostic codes to patients’ conditions of illnesses, injuries, and diseases.

COE

1. Acronym for occurring in the “course of employment.” An injury must occur in the course of employment to be compensable in workers’ compensation. Thus the activity the employee was engaged in at the time of injury must grow out of, or be incidental to, the employment. 2. Abbreviation for center of excellence. See center of excellence (COE).