OP Medical Coder

• Assign accurate ICD-9, ICD-10-CM, CPT, HCPCS, DRG, and other applicable codes for diagnoses and procedures based on clinical documentation. • Validate that final diagnoses and operative procedures documented by physicians are complete, accurate, and compliant with coding standards. • Abstract relevant clinical information from health records, including secondary diagnoses, complications, and co-morbid conditions. • Review medical records for documentation consistency, completeness, and adequacy to ensure accurate representation of patient care. • Compute and assign the appropriate Diagnosis Related Group (DRG) for all inpatient cases. • Provide training, guidance, and mentorship to Medical Coders and Medical Records Technicians, including updates on new coding guidelines and regulatory changes. • Review physician documentation to ensure appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT codes. • Ensure coding compliance with applicable HAAD/DOH coding guidelines, regulations, and organizational policies. • Provide constructive feedback to physicians regarding coding discrepancies, documentation deficiencies, and missed coding opportunities. • Stay current with the latest coding classifications, coding updates, and DOH/HAAD coding directives. • Perform miscellaneous duties and special projects as assigned. • Carry out any additional responsibilities assigned by the Head of Department (HOD) within the scope of the role. Occupational Safety & Health (OSH) and Infection Control Responsibilities • Comply with all Occupational Safety & Health (OSH) and Infection Control policies, standards, and procedures. • Perform duties in accordance with documented OSH policies, procedures, and assigned responsibilities. • Be familiar with emergency response and evacuation procedures. • Report OSH hazards, incidents, near misses, and unsafe conditions, and assist in risk assessments and incident investigations. • Comply with hospital waste management policies and procedures. • Attend mandatory OSH, Infection Control, safety awareness programs, and emergency/mock drills. • Use appropriate Personal Protective Equipment (PPE) and follow all applicable safety protocols. • A graduate of Bachelor's Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience. • Valid Certified Coding Associate (CCA) certification from the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC). • Computer Literacy, MS Office. • Excellent command of oral and written English. Performance Criteria • Achievement of Core Objectives in line with the expectations of the Management and stakeholders. • Ability to work constructively and interact professionally with others. • Ability to coordinate multiple tasks, adjust to changing priorities, and work within deadlines.