Clinical Coder
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Key skills for this role
About the Role
Sheikh Shakhbout Medical City is seeking a Clinical Coder to review, abstract, and analyze clinical information from medical records, translating it into diagnostic and operative procedure codes using ICD-10-CM and CPT.
Key Skills for This Role
Responsibilities
- Assign ICD 10 CM and CPT codes to outpatient and emergency department medical records
- Capture charges for emergency department records
- Adhere to official coding guidelines for accuracy and completeness
- Interact with physicians and other areas when additional coding information is needed
- Utilize encoder and coding references appropriately
- Comply with SEHA policies, procedures, and regulatory requirements
Requirements
- Knowledge of ICD 10 CM and CPT coding systems
- Adherence to official coding guidelines and UAE regulatory standards
- Ability to interact with physicians for additional coding information
- Compliance with SEHA policies and regulatory requirements
- Maintain confidentiality
Full Job Posting
Role Overview
- Responsible for reviewing, abstracting and analyzing clinical information from medical records and relevant documents, translating the information into diagnostic and operative procedure codes in accordance with the clinical coding system.
Key Responsibilities
- Assign ICD 10 CM and CPT codes to outpatient/emergency department medical records and captures charges for emergency department records
- Adheres to official coding guidelines when coding with accuracy and completeness as supported by documentation
- Interact with physicians and other areas when additional coding information is needed
- Appropriately utilizes encoder and coding references
- Assigns appropriate code(s) by utilizing coding guidelines established by UAE regulatory agencies
- Utilizes ICD CM Official Coding Guidelines for Coding and Reporting
- Utilizes American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
- American Medical Association (AMA) CPT Assistant for CPT codes
- American Health Information Management Association (AHIMA) Standards of Ethical Coding
Compliance and Regulatory Requirements
- Complying with Policies, Procedures and Practices of the SEHA Corporate and other regulatory requirements
- Completing and maintaining regulatory requirements including licensure and certification and other mandatory training within established time frames
- Maintaining confidentiality with regards to any information exchanged or received in the current capacity of role
- Assuming the role of a brand ambassador for SEHA and promoting a customer focused philosophy
- Maintaining positive and effective working relationships within the department/division and also with other departments/sections within SEHA
- Adhering to the Occupational Health and Safety, Materials Management and Maintenance standards
- Adhering to requirements of the Occupational Health and safety guidelines and infection control guidelines
- Understanding and adhering to emergency preparedness plans/policies
- Recognizing the necessity of continuously developing skills and acquiring additional knowledge appropriate to the position
- Dressing appropriately to meet the expectations of the specific work area and in alignment with the Occupational Health and Safety policies
- Building key partnerships within the organization for pursuing client centered, comprehensive, integrated systems of care
- Complying with any regulations related to mentoring, training, and development of UAE nationals staff
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