OP Medical Coder
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Key skills for this role
About the Role
The incumbent checks and sequences the most accurate ICD-9/ ICD10-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnos.
Key Skills for This Role
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Overview
- The incumbent checks and sequences the most accurate ICD-9/ ICD10-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.
- 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. Computes and gives the correct DRG coding all inpatients cases.
- Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
- Analyzes doctors’ documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
- 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.
- Performs miscellaneous job-related duties as assigned.
- Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
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