OP Medical Coder

Overview

Managerial

• Support departmental objectives and contribute to operational efficiency.
• Participate in departmental meetings, committees, and hospital initiatives as required.
• Assist in the orientation and training of new employees.

Technical

• Review and analyze patient medical records to identify relevant diagnoses, procedures, and treatments.
• Assign accurate ICD, CPT, HCPCS, and other applicable medical codes based on clinical documentation.
• Ensure compliance with coding guidelines, regulatory standards, payer requirements, and organizational policies.
• Collaborate with physicians and healthcare professionals to clarify documentation and coding-related queries.
• Assist in resolving coding discrepancies, claim denials, and reimbursement issues in coordination with relevant departments.
• Maintain confidentiality, accuracy, and integrity of patient records and coding information.
• Stay updated with changes in coding standards, healthcare regulations, and industry best practices.
• Apply technical knowledge of medical sciences, including anatomy, physiology, and disease processes, to coding activities.

Quality & Safety

• Promote quality improvement initiatives and ensure adherence to established quality standards.
• Comply with all quality assurance, safety, and infection prevention and control policies and procedures.
• Support clinical audit activities and implement corrective actions as required.
• Maintain effective communication with patients, families, physicians, and other healthcare professionals when necessary.
• Ensure environmental safety and adherence to infection control measures to minimize healthcare-associated infections.

Continuous Education & Professional Development

• Participate in departmental education programs, training sessions, case reviews, and clinical presentations.
• Attend lectures, seminars, workshops, and online learning activities to maintain professional competency.
• Complete all mandatory training, certifications, licensure requirements, and regulatory compliance activities within designated timelines.
• Contribute to staff development initiatives through teaching, mentoring, and knowledge sharing.

Occupational Safety & Health (Osh)

• Comply with all Occupational Safety and Health (OSH) policies, standards, and procedures.
• Report hazards, incidents, near misses, and unsafe conditions in a timely manner.
• Participate in risk assessments, audits, inspections, mock drills, and safety awareness programs.
• Use appropriate personal protective equipment (PPE) and follow safe working practices.
• Be familiar with emergency response and evacuation procedures.
• Support waste management, recycling, and environmental sustainability initiatives.
• Ensure personal actions do not endanger the health and safety of patients, colleagues, or visitors.

Prevention & Control Of Infection (Pci)

• Adhere to all Infection Prevention and Control (PCI) policies, procedures, and standards.
• Maintain the highest standards of hand hygiene, including compliance with the “5 Moments of Hand Hygiene.”
• Follow Bare Below the Elbows (BBE) requirements and environmental cleaning protocols.
• Contribute to reducing the risk of infection for patients, staff, and visitors through consistent compliance with PCI practices.
• Professional certification in Medical Coding, such as **Certified Professional Coder (CPC)** , **Certified Coding Specialist (CCS)** , or an equivalent recognized certification.
• In-depth knowledge of **ICD-10-CM, CPT, and HCPCS** coding systems and guidelines.
• Strong understanding of **medical terminology, anatomy, physiology, and disease processes** .
• Proficiency in **Hospital Information Systems (HIS), Electronic Medical Records (EMR), and coding software applications** .
• Excellent attention to detail with strong analytical and problem-solving abilities.
• Ability to accurately interpret clinical documentation and apply appropriate coding standards.
• Effective verbal and written communication skills to collaborate with physicians, clinical staff, insurance providers, and administrative teams.
• Strong organizational and time-management skills with the ability to manage multiple tasks and meet deadlines.
• Ability to work independently and maintain a high level of accuracy in a fast-paced healthcare environment.
• Commitment to maintaining confidentiality and adhering to professional and ethical standards.