About this role
• 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