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, DRG code.
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
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, DRG code.
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
Qualifications
A graduate of Bachelor’s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
