Clinical Coder

Job Description

Key responsibilities of the role

Managerial/Administration:

• Assist in formulating and ensuring delivery of the Hospital corporate strategies and strategic plans.
• Work with the Senior Clinical Coder to develop the patient financial service standards and ensure they are consistently met.
• Act as a role model to deliver high operational performance standards by developing and supporting the Finance team.
• Collaborate with all levels of interdisciplinary teams, executive officers and other stakeholders in the development, implementation, and evaluation of programs and services.

Technical:

• Review and analyse patient medical records to ensure all applicable patient data is available for coding and abstracting by checking the diagnosis and procedure
• Ensure accurate coding and sequencing as specified by established coding principles and guidelines, following the clinical coding system
• Allocate the appropriate and specific codes from the indexing system and assigning the codes for completing coding summary of the medical records
• Assist with the preparation of medical records for the quality assurance and medical audit purposes by providing the coding data
• Investigate and resolve problems, complaints and incidents occurring within the coding section, and reporting these occurrences to the Senior Clinical Coder for further action
• Ensure timely completion of medical coding as per the orders
• Ensure consistency in information data flow and documentation requirements for effective medical coding and grouping
• Validate that encoded information is reported with most accurate information
• Collaborate with clinical and non-clinical staff in research projects, teaching activities, evaluation of medical records etc. by utilising the coding database
• Apply knowledge of basic medical sciences and medical terminology skills
• Conduct periodic audits on coding process and ensure the coding is conducted as per the set standards
• Coordinate with the data analysis section for coding statistics requirements, and with other sections in medical records, for other clerical-related transactions/arrangements

Quality & Safety:

Evaluate factors related to safety, outcomes, effectiveness, cost and social impact when developing and implementing practice innovations.

Participate in projects, equipment, staff and policy decisions that affect staff care

Education:

Manage the performance of self and others within the facility by setting developmental action plans/goals.

Continue personal professional development through training and continuing education.

Qualifications, Certifications and Experience:

• Bachelor’s degree or equivalent in Clinical Coding or HIM
• Competent computer skills.
• Recognised coding certification such as Certified Coding Associate (CCA), Certified Coding Specialist (CCS) etc.
• 2-3 years of experience in an acute care hospital Medical Record Department as a Coder of inpatient records, inclusive of ICD10-CM coding or equivalent and statistical compilation.
• International accreditation experience.
• The ability to influence and implement change.
• Excellent interpersonal and communication skills.
• Strong analytical and problem-solving skills
• Able to work independently and collaboratively with others.
• Organised and able to work methodically.
• Able to relate to people from different cultural backgrounds.
• Fluent in both written and spoken English.
• Ability to speak Arabic is highly preferred.