OP Medical Coder

• The incumbent checks and sequences the most accurate ICD-9/ ICD10- 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.

• 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. Computes and gives the correct DRG coding all inpatients cases.

• Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.

• Analyzes doctors’ documentation to assure the appropriate Evaluation &

• Ensures coding is as per HAAD guidelines and regulations.

• Provides feedback to Doctors regarding coding errors or oversights.

• Constantly updates to the latest coding versions and HAAD coding directives.

Management (E & M) levels are assigned using the correct CPT code.