IP Medical Coder

Overview

• The incumbent checks and sequences the most accurate ICD-9-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
• + Prepare daily& monthly coding audit reports.
• + Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
• + Evaluates the record for documentation consistency and adequacy.
• Ensures that the final diagnosis accurately reflects the care and treatment rendered.
• + Ensures coding is as per DOH guidelines and regulations.
• + Provides feedback to Doctors regarding coding errors or oversights.
• + Constantly updates to the latest coding versions and DOH coding directives.
• + Maintain inter and interdepartmental communication for the smooth functioning of the department.
• + Strictly adheres to organization’s regulations and policies especially those related to infection control, patient safety, OSHMS, DOH, JCI and ISO.
• + Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.
• + Participates and contributes in scheduled in-service training programs, In house activities, conferences or other programs as requested.
• + Maintains confidentiality as per the agreement signed.
• + Demonstrates the ability to listen to others in promoting effective communication.
• + Develops thorough understanding of policies and procedures of the hospital and demonstrates respect for them.
• + Carries out other duties when requested by the Head of department.
• The incumbent checks and sequences the most accurate ICD-9-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
• Prepare daily & monthly coding audit reports.
• Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
• Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered.
• Ensures coding is as per DOH guidelines and regulations.
• Provides feedback to Doctors regarding coding errors or oversights.
• Constantly updates to the latest coding versions and DOH coding directives.
• Maintain inter and interdepartmental communication for the smooth functioning of the department.
• Strictly adheres to organization’s regulations and policies especially those related to infection control, patient safety, OSHMS, DOH, JCI and ISO.
• Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.
• Participates and contributes in scheduled in-service training programs, in-house activities, conferences or other programs as requested.
• Maintains confidentiality as per the agreement signed.
• Demonstrates the ability to listen to others in promoting effective communication.
• Develops thorough understanding of policies and procedures of the hospital and demonstrates respect for them.
• Carries out other duties when requested by the Head of department.
• Qualification: Graduate in Allied Health Sciences or related field. Certified Coding Associate (CCA) certification from the American Health Information Management Association (AHIMA).
• Experience: At least 2 years of coding experience.
• Skills: Computer literacy with excellent command of spoken and written English.