Medical Coding-IP
Qualification: Medical Background / Bachelor’s Degree in Health Sciences
Certifications: CPC, CCS, CCS-P, CIC &/Or CCA
Experience: Min 3 Years
JoB Description:
• Responsible for final coding on Inpatient, Day case, LTC cases.
• Prompts medical staff physicians for additional documentation as needed to clarify DRG assignments.
• Accurately assign ICD-10 CM, CPT, HCPCs codes according to the available documentation.
• Identify the opportunity to improve medical documentation and potentially to improve facility reimbursement under DRGs.
• Query management for any clarifications that may arise while processing the claims. Ensure the given Targets are met.
• Coordinate with case manager to improve the DRG severity.
• Actively participating in Audits as nominees under coding representative.
• Participation in the organization’s quality improvement and safety activities.
• Comply with the established policies & procedures of which they have been informed, instructed, and trained.
• Actively participate along with line management towards implementation of quality projects & programs requirements.
• Report to the respective manager any potentially hazard, unsafe act or condition, which may cause impacts.
• Report all hazard, near miss and incidents to the respective line manager.
• Ensure the work is carried out within applicable regulations, health insurance policies, principles, and hospital goals.
• Contributes to the success of departmental KPI’s.
• Any other tasks required by HOD’s