The incumbent checks and sequences the most accurate ICD-9-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
Prepare daily & monthly coding audit reports.
Abstracts all necessary information from health records to identify secondary complications and co‑morbid conditions.
Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered.
Ensures coding is as per DOH guidelines and regulations.
Provides feedback to Doctors regarding coding errors or oversights.
Constantly updates to the latest coding versions and DOH coding directives.
Maintain inter and interdepartmental communication for the smooth functioning of the department.