OP Medical Coder
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Key skills for this role
About the Role
The incumbent checks and sequences the most accurate ICD-9-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and.
Key Skills for This Role
Responsibilities
- Check and sequence accurate ICD 9 CM/CPT/HCPCS/DRG codes for diagnoses and procedures
- Prepare daily and monthly coding audit reports
- Abstract necessary information from health records to identify secondary complications and co morbid conditions
- Evaluate records for documentation consistency and adequacy
- Ensure coding is as per DOH guidelines and regulations
- Provide feedback to doctors regarding coding errors or oversights
Requirements
- Certification in medical coding (e.g., CPC, CCS)
- Knowledge of ICD 9 CM, CPT, HCPCS, and DRG coding systems
- Familiarity with DOH coding guidelines and regulations
Full Job Posting
Key Responsibilities
- The incumbent checks and sequences the most accurate ICD 9 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.
- Prepare daily & monthly coding audit reports.
- 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.
- Ensures coding is as per DOH guidelines and regulations.
- Provides feedback to Doctors regarding coding errors or oversights.
- Constantly updates to the latest coding versions and DOH coding directives.
- Maintain inter and interdepartmental communication for the smooth functioning of the department.
- Strictly adheres to organization’s regulations and policies especially those related to infection control, patient safety, ADOSH, DOH, JCI and ISO.
- Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.
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