Job Description

Checks and sequences the most accurate ICD-9-CM / CPT / HCPCS / DRG / other codes for diagnoses and procedures based on documented information. Assures that the final diagnoses and operative procedures stated by the physician are valid and complete. Prepares daily and monthly coding audit reports. Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions. Evaluates records for documentation consistency and adequacy, ensuring 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. Stays updated with the latest coding versions and DOH coding directives. Maintains inter- and intradepartmental communication for the smooth functioning of the department. Strictly adheres to organizational regulations and policies, especially those related to infection control, patient safety, ADOSH, DOH, JCI, and ISO. Supports Continuous Quality Improvement and actively participates in 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 active listening to promote effective communication. Develops a thorough understanding of hospital policies and procedures and demonstrates respect for them. Carries out other duties as requested by the Head of Department.

Checks and sequences the most accurate ICD-9-CM / CPT / HCPCS / DRG / other codes for diagnoses and procedures based on documented information. Assures that the final diagnoses and operative procedures stated by the physician are valid and complete. Prepares daily and monthly coding audit reports. Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions. Evaluates records for documentation consistency and adequacy, ensuring 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. Stays updated with the latest coding versions and DOH coding directives. Maintains inter- and intradepartmental communication for the smooth functioning of the department. Strictly adheres to organizational regulations and policies, especially those related to infection control, patient safety, ADOSH, DOH, JCI, and ISO. Supports Continuous Quality Improvement and actively participates in 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 active listening to promote effective communication. Develops a thorough understanding of hospital policies and procedures and demonstrates respect for them. Carries out other duties as requested by the Head of Department.

Graduate in Allied Health Sciences or related areas Certified Coding Associate (CCA) certification from the American Health Information Management Association (AHIMA) Minimum of 2 years of coding experience Computer literacy * Excellent command of oral and written English