IP Medical Coder

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

• Checks and sequences the most accurate ICD-9/ICD-10-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures. Ensures final diagnoses and operative procedures stated by the physician are valid and complete.

  
  

• Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.

  
  

• Evaluates records for documentation consistency and adequacy. Ensures the final diagnosis accurately reflects the care and treatment rendered and computes correct DRG coding for all inpatient cases.

  
  

• Provides training and guidance to other coders / Medical Records Technicians, updating them with new coding rules and regulations as necessary.

  
  

• Analyzes doctors’ documentation to ensure appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.

  
  

• Ensures coding complies with HAAD guidelines and regulations.

  
  

• Provides feedback to doctors regarding coding errors or oversights.

  
  

• Keeps updated with 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 within the scope of the job title.

  
  

• Complies with all OSH and infection control policies, standards, and procedures, cooperating with hospital management to meet requirements.

  
  

• Works in accordance with documented OSH procedures and instructions, fulfilling specific responsibilities.

  
  

• Familiar with emergency and evacuation procedures.

  
  

• Notifies OSH hazards, incidents, near misses, and issues; assists with preparation of risk assessments and incident reports.

  
  

• Complies with waste management procedures and policies.

  
  

• Attends applicable OSH/Infection control training programs, mock drills, and awareness programs.

  
  

• Uses appropriate personal protective equipment and safety systems.

  
  

• Education & Certification:

  
  

  • Bachelor’s Degree in Allied Health Sciences or related fields.

    
    

  • Minimum 2 years of coding experience.

    
    

  • Valid Certified Coding Associate (CCA) certification from AHIMA or Certified Professional Coder (CPC) certification from AAPC.

    
    

• Technical Skills:

  
  

  • Computer literacy, including MS Office.

    
    

• Language Skills:

  
  

  • Excellent command of oral and written English.

    
    

• Performance Criteria:

  
  

  • Achievement of core objectives in line with management and stakeholder expectations.

    
    

  • Ability to work constructively and interact professionally with others.

    
    

  • Ability to coordinate multiple tasks, adapt to changing priorities, and meet deadlines.