Medical Coder (HIM)

Overview

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Major Duties and Responsibilities

• Codes patient medical records using the ICD-10-AM classification system.
• Consults with physician through the Head of HIM when documentation of diagnosis and procedures is illegible, not clinically stated or omitted in order to properly assign codes or when proper sequencing of diagnoses and / or procedures is unclear.
• Filing of the coded records and maintains accurate, neat files in a timely manner.
• Merging the double numbered records on the basis of proper and authorized request with coordination of MSD.
• Maintains confidentiality, security and personal privacy of all patient information and files.
• Codes diagnosis / procedure data for both inpatient and out-patient records, company reporting and generates daily reports.
• Verifies the inpatient census report and adjusts accordingly on a daily basis and compiles a daily and monthly report.
• Collection of statistical data from all the clinical departments to compute the statistics.
• Data entry in the HIS program for Ministry of Health and save in the disk to present to Ministry of Health through Head of the Department.
• Utilizes the PC for maintaining and compiling of regular statistical reports and graphic presentation, enters the appropriate abstracting data.
• Participates in ongoing education program developed by the department, e.g. department policies and procedures, Fire and Safety, Risk Management, Environmental Control.
• Participates in Monthly meeting to ensure that all the staff complete their job descriptions according to the policy and procedure of the department and discusses current issues to maintain quality of patient care services.
• Performs other applicable tasks and duties assigned within the realm of the employee’s knowledge, skills and abilities.

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