Medical Coder NMC healthcare LLC

Job Description

• The incumbent checks and sequences the most accurate ICD-9/ ICD10- 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.
• Performs miscellaneous job-related duties as assigned.
• Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
• Adhere to information systems policies and procedures as required by Health Care Organization.
• Follow security and privacy policies and procedures to the use of networks, including intranet and Internet.
• Follow confidentiality and security measures to protect electronic health information.
• Maintain data integrity and validity within an information system.
• Report any possible breaches of confidentiality in accordance with organizational policies.
• Apply departmental and organizational data and information system security policies
• Use basic word processing, spreadsheet and desktop presentation applications as applicable to your work.
• Demonstrate proficiency in Windows operating environment.
• Demonstrate use of email, addressing, forwarding, attachments, netiquette.

Responsibilities

• The incumbent checks and sequences the most accurate ICD-9/ ICD10- 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.
• Performs miscellaneous job-related duties as assigned.
• Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
• Adhere to information systems policies and procedures as required by Health Care Organization.
• Follow security and privacy policies and procedures to the use of networks, including intranet and Internet.
• Follow confidentiality and security measures to protect electronic health information.
• Maintain data integrity and validity within an information system.
• Report any possible breaches of confidentiality in accordance with organizational policies.
• Apply departmental and organizational data and information system security policies
• Use basic word processing, spreadsheet and desktop presentation applications as applicable to your work.
• Demonstrate proficiency in Windows operating environment.
• Demonstrate use of email, addressing, forwarding, attachments, netiquette.