About this role
• Ensures proper coding of documents in accordance with the regulator’ coding guidelines and regulations.
• Check and assign the most accurate ICD-9, ICD-10-CM, CPT, HCPCS, DRG, and other applicable codes for documented diagnoses and procedures. • Ensure that the final diagnoses and operative procedures documented by the physician are valid and complete. • Abstract all necessary information from health records to identify secondary complications and co-morbid conditions. • Evaluate medical records for documentation consistency and adequacy, ensuring the final diagnosis accurately reflects the care and treatment provided. • Compute and assign the correct DRG coding for all inpatient cases. • Provide training and guidance to coders and Medical Records Technicians, updating them on new coding rules and regulations as required. • Analyze physicians' documentation to ensure appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT codes. • Ensure coding complies with HAAD guidelines and regulations. • Provide feedback to physicians regarding coding errors, discrepancies, or documentation oversights. • Stay up to date with the latest coding versions and HAAD coding directives. • Perform miscellaneous job-related duties as assigned. • Perform any other duties assigned by the HOD from time to time within the scope of the job title. • Comply with all OSH and infection control policies, standards, and procedures, and cooperate with hospital management to meet these requirements. • Work in accordance with documented OSH procedures, instructions, and assigned responsibilities. • Be familiar with emergency and evacuation procedures. • Notify OSH hazards, incidents, near misses, and issues, and assist in the preparation of risk assessments and incident reports. • Comply with waste management procedures and policies. • Attend applicable OSH and infection control training programs, mock drills, and awareness sessions. • Use appropriate personal protective equipment (PPE) and safety systems.
• Bachelor's degree in Allied Health Sciences or a related field. • Minimum of two (2) years of medical coding experience. • Valid Certified Coding Associate (CCA) certification from the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC). • Computer literacy with proficiency in Microsoft Office applications. • Excellent command of spoken and written English. Performance Criteria:
• Achieve core objectives in line with the expectations of management and stakeholders. • Demonstrate the ability to work constructively and interact professionally with colleagues and stakeholders. • Effectively coordinate multiple tasks, adapt to changing priorities, and meet established deadlines.