IP Medical Coder

Roles Responsibilities Assign accurate ICD9CM ICD10CM CPT HCPCS DRG and other applicable codes for diagnoses and procedures based on clinical documentation Validate that final diagnoses and operative procedures documented by physicians are complete and accurately coded Abstract relevant information from health records to identify secondary diagnoses complications and comorbidities Review medical records for documentation consistency completeness and adequacy Ensure the final diagnosis reflects the care and treatment provided and assign the correct DRG for all inpatient cases Provide training guidance and mentorship to Medical Coders and Medical Records Technicians on coding practices and regulatory updates Analyze physicians documentation to ensure accurate assignment of Evaluation Management E M levels using the appropriate CPT codes Ensure compliance with DOH formerly HAAD coding guidelines regulations and coding standards Provide constructive feedback to physicians regarding coding discrepancies documentation gaps and missed coding opportunities Desired Candidate Profile Bachelor s Degree in Allied Health Sciences or a related field Minimum 2 years of medical coding experience Valid Certified Coding Associate CCA certification from AHIMA or Certified Professional Coder CPC certification from AAPC Proficient in MS Office and general computer applications Excellent written and verbal communication skills in English Competencies Achieve assigned objectives in line with organizational and stakeholder expectations Demonstrate professionalism and collaborate effectively with multidisciplinary teams Manage multiple tasks efficiently adapt to changing priorities and meet deadlines Willingness to attend meetings outside normal working hours when required