Job Description

Ensures proper coding of documents in accordance with the regulator’ coding guidelines and regulations.

• Assigns accurate ICD-9 / ICD-10-CM / CPT / HCPCS / DRG codes for diagnoses and procedures based on documented clinical information.

• Ensures final diagnoses and operative procedures documented by physicians are valid and complete.

• Abstracts relevant information from health records to identify secondary complications and co-morbidities

• Reviews medical records for documentation consistency and adequacy, ensuring diagnoses reflect the care provided.

• Computes and assigns correct DRG coding for all inpatient cases

• Provides training and guidance to coders and Medical Records Technicians, including updates on coding standards and regulations.

• Analyzes physician documentation to ensure correct Evaluation & Management (E&M) level assignment using appropriate CPT codes.

• Ensures coding compliance with HAAD guidelines and regulatory requirements

• Provides constructive feedback to physicians on coding discrepancies or documentation gaps.

• Keeps up to date with the latest coding systems, versions, and HAAD directives

• Performs additional job-related duties as assigned.

• Undertakes any other responsibilities assigned by the Head of Department (HOD) within the job scope.

OSH & Compliance Responsibilities:

• Complies with all Occupational Safety & Health (OSH) and infection control policies and procedures.

• Works in accordance with established OSH procedures and responsibilities

• Maintains familiarity with emergency and evacuation procedures

• Reports hazards, incidents, and near misses, and assists in risk assessments and incident reporting.

• Adheres to waste management policies and procedures

• Participates in OSH and infection control training, mock drills, and awareness programs

• Utilizes appropriate personal protective equipment (PPE) and safety systems.

• Bachelor’s Degree in Allied Health Sciences or a related field.

• Minimum 2 years of coding experience

• Valid certification:

  • Certified Coding Associate (CCA) – AHIMA, or

  • Certified Professional Coder (CPC) – AAPC.

• Proficient in computer applications, including MS Office.

• Excellent oral and written communication skills in English.

Performance Criteria:

• Achieves core objectives aligned with management and stakeholder expectations

• Demonstrates ability to work collaboratively and maintain professional interactions

• Effectively manages multiple tasks, adapts to changing priorities, and meets deadlines.