Clinical Coder

Overview

Key Responsibilities

Key Responsibilities

Coding

• Assign ICD-10-CM and CPT codes to outpatient (OP)/emergency department (ED) medical records and captures charges for emergency department records;
• Adheres to official coding guidelines when coding with accuracy and completeness as supported by documentation;
• Interact with physicians and other areas when additional coding information is needed;
• Appropriately utilizes encoder and coding references;
• Assigns appropriate code(s) by utilizing coding guidelines established by UAE regulatory agencies;
• Utilizes ICD-CM Official Coding Guidelines for Coding and Reporting;
• Utilizes American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification;
• American Medical Association (AMA) CPT Assistant for CPT codes;
• American Health Information Management Association (AHIMA) Standards of Ethical Coding
• SEHA Compliance guidelines
• Corresponding Activities performed by the role
• Complying with Policies, Procedures and Practices of the SEHA Corporate and other regulatory requirements
• Complying consistently with policies, procedures and practices and ensuring alignment with SEHA corporate policies
• Completing and maintaining regulatory requirements including: licensure and certification and other mandatory training within established time frames
• Maintaining Confidentiality
• Maintaining confidentiality with regards to any information exchanged or received in the current capacity of role in accordance with SEHA corporate policies
• Promoting Customer Service standards
• Assuming the role of a brand ambassador for SEHA and promoting a customer focused philosophy in dealing with any stakeholders
• Maintaining positive and effective working relationships within the department/division and also with other departments/sections within SEHA
• Performing any other duties as may be assigned relevant to the basic responsibilities of the role
• Adhering to the Occupational Health and Safety, Materials Management and Maintenance standards
• Adhering to requirements of the Occupational Health and safety guidelines and infection control guidelines
• Understanding and adhering to emergency preparedness plans/policies

• Ensuring Personal Effectiveness

• Recognizing the necessity of continuously developing skills and acquiring additional knowledge appropriate to the position
• Dressing appropriately to meet the expectations of the specific work area and in alignment with the Occupational Health and Safety policies
• Building key partnerships within the organization for pursuing client-centered, comprehensive, integrated systems of care
• Complying with any regulations related to mentoring, training, and development of UAE nationals staff