Medical record coding and audit system

A method of processing medical records, comprising the steps of:

• providing an image of a medical record on a screen;
• inputting a plurality of codes each code being associated with a portion of said medical record;
• selecting a plurality of regions of said medical record that supports each of said plurality of codes;
• visibly marking each of said selected plurality of regions of said medical record;
• and,
• storing and associating for subsequent retrieval each of said plurality of codes with at least one of said selected plurality of visibly marked regions of said medical record.

A medical records coding and audit system comprising:

• a computing system having a medical records application, a coding application and an audit application;
• said computing system further including a medical records database, a captured codes database and an audit trail database;
• a display coupled to said computing system for displaying medical records, displaying coding capture fields;
• and;
• said medical records application, said coding application, said audit application, said medical records database, said captured codes database and said audit trail database operably connected to enable regions of a medical record displayed on said display to be visibly marked and associated with an entered code in said coding capture fields and stored for subsequent retrieval in said computing system.