The role incumbent is Responsible for entering and coding patient services into a computer system and generating invoices to be sent to the insurance companies. Sorts and files paperwork, handles insurance claims. Medical coders help to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients.
Perform ICD – 10CM, CPT and other coding for patient diseases:
1. Perform highly technical and specialized medical coding functions for the Vertical and DHA Authority
2. Review, Analyse, and code diagnostic and procedural information that determine almost near without errors.
3. Ensures compliance with established coding guidelines, DHA policies, regulation and JCI accreditation guidelines.
4. Maintain knowledge of anatomy, physiology and medical terminology commensurate with
5. ability to correctly code provider services and diagnoses.
Abstracts all necessary information from health records (MRD FILES) to identify secondary complications and co-morbid conditions:
1. Train sequences of ICD – 10 CM/CPT codes to diagnoses and procedures for documented information.
2. Mark all necessary information and assigns codes (ICD – 10CM/CPT) which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established hospital guidelines.
3. Assure the final diagnoses and operative procedures as stated by the physician are valid and complete.
4. Determine the final diagnoses and procedures stated by the physician or other health care provides are valid and complete.
5. Evaluate the record for documentation consistency and adequacy.
6. Ensure that the final diagnosis accurately reflects the care and treatment rendered.
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