OP Medical Coder

• 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.