IP Medical Coder

Job Description

Ensures proper coding of documents in accordance with the regulator’ coding guidelines and regulations.

Responsibilities

• Assigns accurate ICD-9 / ICD-10-CM / CPT / HCPCS / DRG codes for diagnoses and procedures based on documented clinical information.
• Ensures final diagnoses and operative procedures documented by physicians are valid and complete.
• Abstracts relevant information from health records to identify secondary complications and co-morbidities.
• Reviews medical records for documentation consistency and adequacy, ensuring diagnoses reflect the care provided.
• Computes and assigns correct DRG coding for all inpatient cases.
• Provides training and guidance to coders and Medical Records Technicians, including updates on coding standards and regulations.
• Analyzes physician documentation to ensure correct Evaluation & Management (E&M) level assignment using appropriate CPT codes.
• Ensures coding compliance with HAAD guidelines and regulatory requirements.
• Provides constructive feedback to physicians on coding discrepancies or documentation gaps.
• Keeps up to date with the latest coding systems, versions, and HAAD directives.
• Performs additional job-related duties as assigned.
• Undertakes any other responsibilities assigned by the Head of Department (HOD) within the job scope.

OSH & Compliance Responsibilities:

• Complies with all Occupational Safety & Health (OSH) and infection control policies and procedures.
• Works in accordance with established OSH procedures and responsibilities.
• Maintains familiarity with emergency and evacuation procedures.
• Reports hazards, incidents, and near misses, and assists in risk assessments and incident reporting.
• Adheres to waste management policies and procedures.
• Participates in OSH and infection control training, mock drills, and awareness programs.
• Utilizes appropriate personal protective equipment (PPE) and safety systems.

Qualifications

• Bachelor’s Degree in Allied Health Sciences or a related field.
• Minimum 2 years of coding experience.
• Valid certification:
  • Certified Coding Associate (CCA) – AHIMA, or
  • Certified Professional Coder (CPC) – AAPC.
• Proficient in computer applications, including MS Office.
• Excellent oral and written communication skills in English.

Performance Criteria:

• Achieves core objectives aligned with management and stakeholder expectations.
• Demonstrates ability to work collaboratively and maintain professional interactions.
• Effectively manages multiple tasks, adapts to changing priorities, and meets deadlines.