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