OP Medical Coder
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Key skills for this role
About the Role
The role involves accurate coding using ICD-9/ICD-10, providing training, ensuring compliance with HAAD guidelines, and requires a Bachelor's degree and coding certification.
Key Skills for This Role
Responsibilities
- Check and sequence accurate ICD 10/CPT/HCPCS/DRG codes for diagnoses and procedures
- Abstract necessary information from health records to identify secondary complications and co morbid conditions
- Evaluate records for documentation consistency and adequacy
- Compute and assign correct DRG coding for inpatient cases
- Provide training and guidance to other coders and medical records technicians
- Analyze doctors' documentation to ensure appropriate E&M levels using correct CPT codes
- Ensure coding complies with HAAD guidelines and regulations
- Provide feedback to doctors regarding coding errors or oversights
- Stay updated with latest coding versions and HAAD coding directives
Requirements
- Experience in medical coding with ICD 9/ICD 10 CM/CPT/HCPCS/DRG
- Knowledge of HAAD coding guidelines and regulations
- Ability to abstract information from health records
- Attention to detail and accuracy
Full Job Posting
Job Overview
- The incumbent checks and sequences the most accurate ICD 9/ICD 10 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.
- 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 rendered.
- Computes and gives the correct DRG coding all inpatients cases.
- Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
- Analyzes doctors’ documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
- Ensures coding is as per HAAD guidelines and regulations.
- Provides feedback to Doctors regarding coding errors or oversights.
- Constantly updates to the latest coding versions and HAAD coding directives.
Responsibilities
- Checks and sequences the most accurate ICD 9/ICD 10 CM/CPT/HCPCS/DRG/other codes for diagnoses and procedures based on documented information.
- Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
- 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 rendered.
- Computes and assigns the correct DRG coding for all inpatient cases.
- Provides training and guidance to other Coders/Medical Records Technicians in coding, updating them with new coding rules and regulations as and when necessary.
- Analyzes doctors' documentation to ensure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.
- Ensures coding is as per HAAD guidelines and regulations.
- Provides feedback to doctors regarding coding errors or oversights.
- Constantly updates to the latest coding versions and HAAD coding directives.
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