Medical Coder

Ensures proper coding of documents in accordance with the regulator’ coding guidelines and regulations

• Check and sequence the most accurate ICD-9/ICD-10-CM/CPT/HCPCS/DRG/other codes for diagnoses and procedures based on documented information; ensure final diagnoses and operative procedures stated by physicians are valid and complete
• Abstract necessary information from health records to identify secondary complications and co-morbid conditions
• Evaluate records for documentation consistency and adequacy; ensure final diagnosis accurately reflects the care and treatment rendered; compute and assign correct DRG coding for all inpatient cases
• Provide training and guidance to other coders/Medical Records Technicians; update them with new coding rules and regulations as needed
• Analyze doctors’ documentation to ensure appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code
• Ensure coding is compliant with HAAD guidelines and regulations
• Provide feedback to doctors regarding coding errors or oversights
• Stay updated with the latest coding versions and HAAD coding directives
• Perform miscellaneous job-related duties as assigned
• Perform other tasks or duties assigned by the HOD from time to time within the scope of the job title
• Occupational Safety & Health (OSH) and Infection Control Responsibilities
• Comply with all OSH and infection control policies, standards, and procedures; cooperate with hospital management to meet requirements
• Work in accordance with documented OSH procedures and instructions, including specific responsibilities
• Be familiar with emergency and evacuation procedures
• Report OSH hazards, incidents, near misses, and assist with risk assessments and incident reports
• Comply with waste management procedures and policies
• Attend applicable OSH/Infection Control training programs, mock drills, and awareness programs
• Use appropriate personal protective equipment (PPE) and safety systems

• Graduate with a Bachelor’s Degree in Allied Health Sciences or related field
• Minimum of two (2) years of coding experience
• Valid certification:
• Certified Coding Associate (CCA) – AHIMA, or
• Certified Professional Coder (CPC) – AAPC
• Computer literacy, including proficiency in MS Office
• Excellent command of oral and written English
• Performance Criteria
• Achievement of core objectives in line with the expectations of management and stakeholders
• Ability to work constructively and interact professionally with others
• Ability to coordinate multiple tasks, adjust to changing priorities, and meet deadlines