Medical Coder

at  NMC Healthcare

• A medical coder translates details from a patient’s medical documents, such as physician’s notes, lab reports, procedures, and diagnoses into universal medical codes to maintain accurate medical records. Healthcare providers and insurance companies use these standardized codes for billing and record-keeping.
• Auditing records to ensure proper submission of services prior to billing on pre-determined selected charges.
• Receiving hospital information to properly bill provider services for hospital patients.
• Supplying correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided.
• Supplies correct HCPCS code on all procedures and services performed.
• Provide correct CPT code on all procedures and services performed.
• Contacts Medical staff to train and update them with correct coding information.
• Attending seminars and in-services as required to be updated on coding issues.
• Auditing medical records to ensure proper coding completed and to ensure compliance with Haad Regulation and Rules.
• Following coding guidelines and legal requirements to ensure compliance Haad regulation and rules.
• Assign proper ICD9, CPT, DRG codes for medical service that required pre-Authorization.
• Help in the coding process for the rejected claims.
• Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
• Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
• Performs other related duties, which may be inclusive, but not listed in the job description
• Code the most accuracy level of diagnosis like external cause, place of occurrence and activity code.
• Attending OSH programs of BIH as a mandatory requirement.
• Complies with all OSH policies, procedures & legal requirements regarding OSHMS.
• Conducts his/ her task in a healthy and safe manner at all times.
• Report any untoward events that will impact the occupational, safety and health of patients, contractors, facilities, operations and etc.
• High School Diploma/ Bachelor’s degree
• Medical Coding Certificate by AAPC OR AHIMA
• Two years’ experience using ICD-9-CM, CPT, HCPCs or equivalency.

Please refer the Job description for details