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.

Checks and sequences the most accurate ICD-9-CM, CPT, HCPCS, DRG, and other codes for diagnoses and procedures based on documented information
Ensures final diagnoses and operative procedures stated by the physician are valid and complete
Prepares daily and monthly coding audit reports
Abstracts necessary information from health records to identify secondary complications and co-morbid conditions
Evaluates records for documentation consistency and adequacy
Ensures final diagnosis accurately reflects the care and treatment provided
Ensures coding compliance with DOH guidelines and regulations
Provides feedback to doctors regarding coding errors or oversights
Keeps updated with the latest coding versions and DOH directives
Maintains interdepartmental communication for smooth department functioning
Adheres strictly to organizational policies, including infection control, patient safety, ADOSH, DOH, JCI, and ISO standards
Supports continuous quality improvement and participates in quality assurance activities
Participates in training programs, in-house activities, conferences, and other assigned programs
Maintains confidentiality as per the signed agreement
Demonstrates effective communication and active listening skills
Develops a thorough understanding of hospital policies and procedures and adheres to them
Performs additional duties as assigned by the Head of Department

Qualifications:

Graduate in Allied Health Sciences or a related field
Certified Coding Associate (CCA) from AHIMA

Experience:

Minimum 2 years of coding experience

Skills:

Computer literacy
Excellent command of spoken and written English

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