Medical Coder

Job Description

• The incumbent checks and sequences the most accurate ICD-9-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. 
• Prepare daily& monthly coding audit reports 
• 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 
• 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
• Maintain inter and interdepartmental communication for the smooth functioning of the department
• Strictly adheres to organization’s regulations and policies especially those related to infection control, patient safety, ADOSH, DOH, JCI and ISO.
• Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service. 
• Participates and contributes in scheduled in-service training programs, In house activities, conferences or other programs as requested.
• Maintains confidentiality as per the agreement signed.
• Demonstrates the ability to listen to others in promoting effective communication.
• Develops thorough understanding of policies and procedures of the hospital and demonstrates respect for them.
• Carries out other duties when requested by the Head of department.