What is the first step in the medical coding process?

Study for 3-2-1 Code It! Exam 1. Use flashcards and multiple choice questions with helpful hints and explanations. Get prepared for your test today!

The correct answer highlights that reviewing the medical record is the foundational step in the medical coding process. This step is crucial because it ensures that the coder has all the relevant details about the patient's diagnosis, treatment, and any procedures performed during their care. A thorough review allows the coder to capture essential information accurately and ensures that all necessary data is documented.

It is important to establish a clear understanding of the patient's condition and the services provided before proceeding to assign codes or submit claims. This step sets the stage for the accuracy and completeness of the eventual coding. By closely examining the medical record, the coder can also identify any discrepancies or missing information that might need clarification before moving on to the subsequent steps in the coding process.

The other options involve actions that occur later in the process. For instance, assigning codes is contingent upon having already reviewed the medical record. Similarly, submitting claims relies on the codes being accurately assigned first. Verifying patient information, while essential, generally occurs prior to coding but does not encompass the entirety of the necessary data for coding purposes. Thus, the review of the medical record stands out as the critical initial step in establishing a correct coding foundation.

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