IP Medical Coder NMC healthcare LLC

• 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.