Job Description - IP Medical Coder

Description

Ensures proper coding of documents in accordance with the regulator’ coding guidelines and regulations.



Responsibilities
  • Assigns accurate ICD-9 / ICD-10-CM / CPT / HCPCS / DRG codes for diagnoses and procedures based on documented clinical information.

  • Ensures final diagnoses and operative procedures documented by physicians are valid and complete.

  • Abstracts relevant information from health records to identify secondary complications and co-morbidities.

  • Reviews medical records for documentation consistency and adequacy, ensuring diagnoses reflect the care provided.

  • Computes and assigns correct DRG coding for all inpatient cases.

  • Provides training and guidance to coders and Medical Records Technicians, including updates on coding standards and regulations.

  • Analyzes physician documentation to ensure correct Evaluation & Management (E&M) level assignment using appropriate CPT codes.

  • Ensures coding compliance with HAAD guidelines and regulatory requirements.

  • Provides constructive feedback to physicians on coding discrepancies or documentation gaps.

  • Keeps up to date with the latest coding systems, versions, and HAAD directives.

  • Performs additional job-related duties as assigned.

  • Undertakes any other responsibilities assigned by the Head of Department (HOD) within the job scope.

OSH & Compliance Responsibilities:

  • Complies with all Occupational Safety & Health (OSH) and infection control policies and procedures.

  • Works in accordance with established OSH procedures and responsibilities.

  • Maintains familiarity with emergency and evacuation procedures.

  • Reports hazards, incidents, and near misses, and assists in risk assessments and incident reporting.

  • Adheres to waste management policies and procedures.

  • Participates in OSH and infection control training, mock drills, and awareness programs.

  • Utilizes appropriate personal protective equipment (PPE) and safety systems.



Qualifications
  • Bachelor’s Degree in Allied Health Sciences or a related field.

  • Minimum 2 years of coding experience.

  • Valid certification:

    • Certified Coding Associate (CCA) – AHIMA, or

    • Certified Professional Coder (CPC) – AAPC.

  • Proficient in computer applications, including MS Office.

  • Excellent oral and written communication skills in English.

Performance Criteria:

  • Achieves core objectives aligned with management and stakeholder expectations.

  • Demonstrates ability to work collaboratively and maintain professional interactions.

  • Effectively manages multiple tasks, adapts to changing priorities, and meets deadlines.



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