OP Medical Coder

Job Description

• The incumbent checks and sequences the most accurate ICD-9/ ICD10- 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. 
• 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. Computes and gives the correct DRG coding all inpatients cases. 
• Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary. 
• Analyzes doctors’ documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code. 
• Ensures coding is as per HAAD guidelines and regulations. 
• Provides feedback to Doctors regarding coding errors or oversights. 
• Constantly updates to the latest coding versions and HAAD coding directives. 
• Performs miscellaneous job-related duties as assigned. 
• Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title. 
• Adhere to information systems policies and procedures as required by Health Care Organization. 
• Follow security and privacy policies and procedures to the use of networks, including intranet and Internet. 
• Follow confidentiality and security measures to protect electronic health information. 
• Maintain data integrity and validity within an information system. 
• Report any possible breaches of confidentiality in accordance with organizational policies. 
• Apply departmental and organizational data and information system security policies 
• Use basic word processing, spreadsheet and desktop presentation applications as applicable to your work. 
• Demonstrate proficiency in Windows operating environment. 
• Demonstrate use of email, addressing, forwarding, attachments, netiquette.