Insurance Coder
Job Description
Responsibilities
- 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.Â
- Prepare daily& monthly coding audit reportsÂ
- 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 renderedÂ
- 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.Â
- 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.
Qualifications
- Qualification : A Graduate in Allied Health Sciences or related areas
Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA)
- Experience :Â At least Eight (2) years of coding experience
- Skills : Computer Literacy.Â
- Excellent command of oral and written English.
