Medical Coder

JJob Description

Under general supervision, the Medical Coder is responsible for abstracting and assigning codes for diagnoses and procedures to both inpatient and outpatient healthcare records with accuracy and serving as a coding resource to staff.

Commitment to Occupational Safety and Health (OSH) /Environment Safety and Health, incident reporting and risk management as required and observed

Responsibilities

• Codes Outpatient Claims by assigning the appropriate E&M, CPT, ICD and USCLS Codes.
• Codes Inpatient Claims to derive the most appropriate DRG Codes and severity.
• Codes for all Day cases and Observations with relevant ICD, CPT, HCPCS and Service Codes.
• Codes for all Inpatient and Outpatient approval requests.
• Re-evaluates the cases in terms of coding, at the time of resubmission; to add, delete or change certain codes, as per the available documentation; to justify the performed services.
• Provides orientation to new Doctors and Nursing staff, with regards to documentation of cases on the Patient/Medical records.
• Assist Doctors with regards to codes, to help them document the cases in a most appropriate manner, so as to include all the essential requirements.
• Provides Coding assistance to the Insurance billing team as per requirement.
• Address all Coding queries from the Billing, Laboratory and Radiology departments of the facility.
• Follow up with doctors, with regards to incomplete Medical Record files, in order to complete the same