Senior / Clinical Coder

Broad Function
Responsible for translating narrative descriptions of diseases, injuries and procedures into codes, based on a pre-defined Casemix classification system.

Main Duties & Responsibilities

• Accurately abstract relevant data and translate the principal diagnosis, secondary diagnoses and surgery/procedures of all inpatient and day surgery discharges into ICD-10-AM codes from discharge summary/case notes/operation reports/histology reports in accordance with the national and hospital coding standards within the stipulated time frame for DRG and medi-claim coding
• Interact closely with clinicians for clarifications/confirmation/feedback on documentation of principal diagnosis, secondary diagnosis and surgery/procedure/treatment if necessary that may affect coding accuracy and correct subvention
• Keep abreast of latest coding standards and update coding knowledge/coding skills
• Manage and track daily uncoded/coders workload report
• Work closely with the supervisor so as to continuously improve the current work processes in Clinical Coding office

Requirements

• Bachelor’s Degree, Diploma in Medical/Nursing/ Health Science or equivalent.
• In-depth knowledge of medical terminology/procedures
• Relevant ICD coding experience is preferred
• Meticulous and thorough in reading through clinical documentation
• Ability to work independently and also in a team
• A target-oriented team player with initiative and positive work attitude
• Excellent communication and writing skills
• Proficient with Microsoft applications