Who is person that is responsible for documenting the patients clinical notes and assigning a diagnosis code and a procedure code for medical services?

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1062322

2026-03-10 23:05

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The person responsible for documenting a patient's clinical notes and assigning diagnosis and procedure codes for medical services is typically a medical coder or a health information technician. They work closely with healthcare providers to ensure accurate coding and documentation, which is essential for billing and compliance purposes. In some cases, physicians or nurse practitioners may also perform these tasks as part of their clinical responsibilities.

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