Coder - Inpatient / Outpatient

Job description / Role

The Coder - Inpatient / Outpatient is responsible for abstracting and analyzing clinical information from inpatient and outpatient medical records and relevant documents, and translating the information into diagnostic and operative procedure codes in accordance with the clinical coding system.

KEY ROLE ACCOUNTABILITIES
- Reviews and interprets patient EMR documentation to identify pertinent diagnoses and procedures and assigns ICD-10-AM and ACHI codes accurately and timely to the highest level of specificity based upon physician documentation.
- Ensures that codes for diagnosis and procedures are as per the requirement standards.
- Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
- Contacts the department / section or clinic and obtains copies of additional documentation.
- Assigns the codes for completing coding summary of the medical records.
- Tracks complaints and incidents occurring within the coding section, and reports these occurrences to the Lead Coder.
- Maintains consistency in information data flow and documentation requirements for effective medical coding and grouping.
- Ensures that encoded information is reported with the most accurate information.
- Ensures continuous studies on coding practices and coding schemes to enhance the accuracy and timely completion of coding data.
- Assists the Lead-Coder in creating reports on unbilled records due to documentation, charge errors, and registration errors.
- Assists with the preparation of medical records for the quality assurance and medical audit purposes by providing the coding data.
- Adheres to Sidras standards as they appear in the Code of Conduct and Conflict of Interest policies.

In view of the evolving needs and opportunities within Sidra during this pre-operational phase, this position may be required to perform other duties as assigned and reporting relationships may vary.

Requirements

- Bachelors Degree in a related field.
- 2+ years of experience in HIM / Coding.
- Credentialed Coder Certificate (CPC, CCS) Registered Health Information Certificate (RHIT, RHIA).
- Proficient in ICD-10-AM and ACHI coding.
- Proficiency in maintaining records / coding for inpatient, outpatient, ambulatory surgery, observations, emergency department visits, and ancillary services.
- Proficiency with Microsoft Office suite.
- Fluency in written and spoken English.

About the Company

Sidra Medical and Research Center will be an ultramodern, all-digital academic medical center which will set new standards in patient care for women and children in Qatar, the Gulf region and internationally.

It will encompass three essential missions:

World-Class Patient Care Medical Education Biomedical Research

Sidra will work closely with its academic partner Weill Cornell Medical College in Qatar (WCMC-Q) and Hamad Medical Corporation in regard to all three missions, raising the standard of health care throughout the country and providing valuable opportunities for research and learning. Sidra is part of a dynamic research and education environment in Qatar that includes leading international institutions, such as Georgetown University, as well as other newly established national research centers.