Senior Coding Specialist
Skills
About This Role
Functional Accountabilities
Review and analyze medical records to assign accurate and complete diagnosis and procedure codes using MOH-approved coding systems (ICD-10-AM/ICD-11).
Apply proper sequencing of codes according to coding guidelines and reimbursement rules.
Ensure timely coding of inpatient discharges, day surgery, and outpatient encounters to meet billing deadlines.
Identify missing, incomplete, or ambiguous documentation that impacts coding accuracy.
Query physicians and clinical staff professionally to clarify documentation gaps.
Collaborate with Clinical Documentation Improvement (CDI) staff to support accurate record capture.
Perform self-checks to ensure coding accuracy, consistency, and compliance with coding rules.
Assist the Coding Manager in conducting internal coding audits and peer reviews.
Support implementation of audit recommendations and corrective actions for any coding errors.
Coordinate with billing and revenue cycle teams to address coding-related denials or claim rejections.
Provide coding input to help resolve discrepancies and support clean claims submission.
Provide guidance and on-the-job training to junior coders and coding trainees.
Share expertise on complex cases, coding updates, and difficult scenarios.
Participate in coding workshops and knowledge-sharing sessions.
Stay updated with changes in MOH coding rules, coding classification updates, and reimbursement policies.
Attend internal or external training to maintain certification and enhance coding skills.
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