Associate Medical Coder

Job Description

Associate Medical CoderBasic FunctionAssociate Medical Coders is responsible to generate coded information. This process is conducted through the review of the clinical information and translating it to codes utilizing the International Classification of Diseases code set (ICD-10-AM), the Australian Classification of Health Interventions, (ACHI) code set. Coder also responsible to calculate the Diagnosis Related Group (DRG) code and abstracts detailed patient information for each episode of care. Associate Medical Coder provides classified data for patient population health, health information exchange, physician performance and utilization review, insurance, planning and forecasting for health care services. ScopeAssociate Medical Coder requires experience in the ICD-10-AM/ACHI coding classifications. Medical coding is the foundation of the revenue cycle management process, therefore, the associate medical coder is required to produce accurate coding to insure optimum revenue. In addition to that, utilization of coded data for healthcare planning. Also, provide statistical data such as population health, coding diagnoses and procedures allowing health care providers to conduct clinical research, identify health care trends, comorbidities and complications for disease management and prevention planning. Principal ContactsDaily contact with medical coding team lead, coding auditors and coding team. Contact with healthcare professionals and support staff within JHAH. Principal Duties

1. Assigns codes for in-patient, out-patient and emergency encounter using the International Classification of Diseases (ICD-10-AM) guidelines and the Australian Classification of Health Interventions (ACHI) guidelines.
2. Abstracts detailed procedure information for each episode of care to associate ACHI codes with provider and date and time of the procedure
3. Query physicians to clarify imprecise documentation to arrive at the appropriate ICD-10-AM code and ensure the accurate DRG.
4. Communicate and follow up with physicians to resolve queries
5. Cooperate with document analysis team to resolve any encounters problem that needs their attention
6. Report coding productivity to coding team lead
7. Communicate with JHAH interface team and 3M to report issues and update 3M HDM.
8. Provide legacy reports to support related stakeholders from 3M for forecasting and planning purposes.
9. Generate IT tickets to address any IT problem that result in delaying the work
10. Validating and auditing statistical reports to ensure the quality of the coded and abstracted health information.
11. Report inaccuracy that might result in impacting the patients negatively to team lead.
12. Participates in reviewing and updating policies and procedures within the organization.
13. Providing orientation and training for new hires and interns on medical coding and abstracting.
14. Adheres to policies and procedures when conducting activities.
15. Treats customers (guests, patients, physicians, and other employees) with courtesy and respect. Responds quickly and appropriately to customer requests. Anticipates customer needs and initiates action to meet those needs.
16. Promotes teamwork and shares knowledge with peers.
17. Participate in team/division/departmental meetings and safety programs.
18. Participate in an appropriate in-services and educational opportunities.
19. Follow up with coding auditor and make any necessary corrections
20. Meet and/or exceeds the established coding accuracy metrics while meeting and/or exceeding productivity standards.
21. Completes other tasks as assigned by team lead

EducationBachelors Degree in Health Information Management or equivalent Experience

• Up to 2 years experience in healthcare information setting, preferably in coding.
• Requires knowledge of ICD-10-AM guidelines, ACHI and DRGs, medical terminology and anatomy and physiology
• Requires comprehensive understanding of clinical documentation standards related to clinical coding.

Certifications/Other requirements as applicableCertifications

• Valid registration of Saudi Commission for Health Specialties.

Language:

• Excellent verbal and written English with accurate grammar and composition.
• Excellent knowledge of medical terminology, anatomy, physiology and operative procedures.

Skills:

• Excellent computer skills.
• Excellent communication skills in dealing with the healthcare professionals and support staff within JHAH.
• Analytical ability to allow for interpretation of clinical data for coding in all clinical specialties.
• Analytical ability to interpret statistical data for reporting purposes.

Other

• Willing to work shift pattern as required (day, evening, night).
• Willing to work overtime if needed

Keyskills :

About Company

one of the world’s largest energy companies – have led the way in our respective fields. So when, in 2013, we joined forces to create a brand-new health service for Saudi Aramco employees and their dependents – expanding on the capabilities of the company’s long-established medical facilities – we knew an exciting future was in store.