Title Medical Coder - National Reference Laboratory

Business Strategy

• Proactively participates in collaboration with the Line Manager to meet the divisions strategic and operational goals.

Organizational Culture & Compliance

• Adheres to the divisions policies procedures and standards while ensuring compliance with applicable regulatory bodies.
• Provides recommendations towards improving the divisions policies and procedures wherever applicable.
• Contributes towards an innovative culture of continuous improvement for enhancing operational efficiency and
  effectiveness.
• Participates in meetings and maintain professionalism and confidentiality as per the organizations standard code of conduct.
• Timely completion of personal performance evaluation cycle.

Data & Records Management

• Reviews medical records documented by physicians nurses and other clinical staff and ensures all medical records are in place with no missing documentation.
• Validates physicians clinical documentation data quality and provides documentation tips/training to concerned staff for improved reporting to senior management.
• Provides data to authorized personnel for studies and/or research purposes.
• Assists in external medical audits by coordinating with the auditors and providing access to the required medical records.
• Performs periodic internal audits to improve and sustain quality levels and compliance.

Medical Coding

• The incumbent checks and sequences the most accurate ICD10CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information.
• Assures the final diagnoses and operative procedures stated by the physician are valid and complete.
• Abstracts all necessary information from health records to identify secondary complications and comorbid 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 for all inpatients cases.
• Query physicians when code assignments are not straightforward or documentation in the record is inadequate ambiguous or unclear for resubmission purposes.
• Ensures coding as per DOH/DHA guidelines and regulations.
• To perform any other duty as required by the line manager or supervisor that commensurate with the post.

SelfManagement

• Actively participates in organizational training programs and on the job learning to continuously learn and enhance skillset required to perform the job.

Communication

• Communicates effectively with team members and maintain good interfunctional liaison to ensure smooth implementation of operational activities.

• Bachelors Degree in Health Information Management or any relevant fields

• Minimum 45 years of progressive career experience
• Relevant experience in a hospital/medical center environment within UAE

• Coding certificate by AAPC / AHIMA

• Knowledgeable of DOH/DHA and HIPPA rules and regulation
• Strong analytical and problemsolving skills
• Proficiency with Microsoft Office suit