Medical Coder

February 17, 2025

Job Description

  • Ensures proper Coding, Abstracting and Auditing of Medical Records documents in accordance with ICD-9-CM and CPT coding guidelines developed by AHIMA and American Medical Association respectively.

Responsibilities

  • 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.

Qualifications

  • Qualification : A Graduate in Allied Health Sciences or related areas
  • Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA)
  • Experience : At least Eight (2) years of coding experience
  • Skills : Computer Literacy. 
  • Excellent command of oral and written English.