IP Medical Coder NMC healthcare LLC

Job Description

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

Responsibilities

• Checks and sequences the most accurate ICD-9/ICD-10-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures. Ensures final diagnoses and operative procedures stated by the physician are valid and complete.

• Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.

• Evaluates records for documentation consistency and adequacy. Ensures the final diagnosis accurately reflects the care and treatment rendered and computes correct DRG coding for all inpatient cases.

• Provides training and guidance to other coders / Medical Records Technicians, updating them with new coding rules and regulations as necessary.

• Analyzes doctors’ documentation to ensure appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.

• Ensures coding complies with HAAD guidelines and regulations.

• Provides feedback to doctors regarding coding errors or oversights.

• Keeps updated with the latest coding versions and HAAD coding directives.

• Performs miscellaneous job-related duties as assigned.

• Performs any other jobs or duties assigned by the HOD within the scope of the job title.

• Complies with all OSH and infection control policies, standards, and procedures, cooperating with hospital management to meet requirements.

• Works in accordance with documented OSH procedures and instructions, fulfilling specific responsibilities.

• Familiar with emergency and evacuation procedures.

• Notifies OSH hazards, incidents, near misses, and issues; assists with preparation of risk assessments and incident reports.

• Complies with waste management procedures and policies.

• Attends applicable OSH/Infection control training programs, mock drills, and awareness programs.

• Uses appropriate personal protective equipment and safety systems.