OP Medical Coder NMC healthcare LLC

Job Description

The Medical Coder is responsible for translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. This role ensures accuracy and compliance with coding guidelines and regulations.

Responsibilities

Key Responsibilities

Corresponding Key Activities performed by the role

Managerial

Technical

• Review and analyse patient records to identify relevant diagnoses and procedures.

  • Assign accurate ICD, CPT, and HCPCS codes based on clinical documentation.

  • Ensure coding compliance with regulatory standards, payer requirements, and hospital policies.

  • Collaborate with physicians and healthcare providers to clarify diagnoses or treatments as needed.

  • Assist in resolving coding discrepancies or claim denials with the billing department.

  • Maintain confidentiality and integrity of patient records.

  • Keep updated with changes in coding standards, healthcare regulations, and industry best practices.

Quality and Safety

• Promoting and maintaining quality in all services and ensure continuous quality improvement measures are in place. Conduct method evaluation/ development as per standard policies and procedures

  • Complying with all safety and quality control programs and procedures as applicable

  • Complying with applicable precautions for environmental safety, infection control, using a series of interventions that minimize or prevent cross infections

  • Ensuring that safety procedures and quality assurance tests are maintained within all sections

  • Comply and support clinical audit processes within the service and report on these as agreed 

  • Communicating in a professional and courteous manner with patients, family and other medical personnel as necessary to obtain information for laboratory records, explain procedures, clarify orders and communicate status.   

Continuous Education

• Participating in education sessions for department staff, doctors and nurses on the safe and secure handling of equipment, i.e teaching, induction, peer review, case studies, and clinical presentations

  • Participating in department programs/ committees, various hospital committees, and staff meeting (when requested) 

  • Participating in the orientation and training of new employees

  • Maintaining professional knowledge by attending lectures, seminars or on-line education sessions

  • Completing and maintaining all regulatory requirements including licensure and certification and other mandatory training within established time frames.

  • The ability to apply technical skills, together with a demonstrable knowledge of and interest in sciences, such as anatomy, physiology and physics;

Occupational Safety and Health Management Systems 

• Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements

  • Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports

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

  • Comply with reasonable OSH instructions, policies and safe working procedures 

  • Use of appropriate personal protective equipment and safety systems. 

  •  Be familiar with emergency and evacuation procedures 

  •  Not wilfully or recklessly endanger anyone’s health and safety 

  • Comply with Waste management procedures and policies. Reduce, Reuse, Recycling of waste as much as possible 

  • Attend all OSH Trainings, awareness programs and mock drills. 

  • Participates in the OSHMS audits, inspections, ensuring standards are maintained

Prevention and Control of Infection (PCI): 

• PCI is everyone’s responsibility. All staff are required to read and implement the NMC PCI Policy and Strategy to maintain the highest possible standards of cleanliness at all times, thus reducing the risk of infection in patients, staff and visitors. 

  • The strictest hand hygiene, 5 moments of hand hygiene, bare below the elbows and environmental care, will be expected of all staff, including the post holder, always