Senior Lead Coder
7 months ago
Responsible of monitoring patient medical records for relevant diagnostic and procedure information and assigns corresponding codes according to standard coding guidelines maintaining productivity.
**Essential Responsibilities and Duties**:
- Works closely with clinical documentation team and health care providers in evaluating inpatient coding provide recommendations to improve the quality of the coded data.
- Performs audits and ensures quality and accuracy of coding and coded data.
- Assists with the maintenance of various patient indexes and databases. Provides patient information retrieval assistance to researchers, finance and others as needed..
- Provides training and education for coding staff in coding, documentation and serve as a resource for inpatient and ambulatory coding inquires..
- Liaisons with Revenue Cycle team ensure timely coding and answer any denials clams inquires as needed.
- Reviews third party coding audits findings and provide feedback to department Head and Manager.
- Evaluates templates and documentation processes in the electronic medical record, and make recommendations to ensure accurate coding.
- Performs frequent Diagnosis Related Groups (DRGs) and case mix reviews to identify clinical documentation gaps.
- Reviews coding queries for appropriateness, timeliness, and check physician’s feedback and agreement rates.
- Responsible for thoroughly knowing and utilizing all coding systems both inpatient and outpatient according to the most recent rules, regulations and conventions.
- Reviews patient medical records for all relevant diseases and assigns corresponding International Classification of Disease (ICD) codes according to standard coding guidelines.
- Follows all Hospital’s related Policies and Procedures.
- Participates in self and others' education, training and development, as applicable.
**Education**:
Master’s, Bachelor’s Degree or Associate Degree/Diploma in Health Information Management, Hospital Administration, Health Allied field, or other related discipline is required.
**Experience Required**:
Four (4) years of related experience with Master’s, or six (6) years of related experience with Bachelor’s Degree, or eight (8) years of related experience with Associate Degree/Diploma is required.
**Other Requirements(Certificates)**:
- Completion of Hospital and SCFHS approved Coder Training Program is required.
- Certified advanced level Clinical Coding Certificate (CCC) is preferred.
- Current Registration from country of origin and Saudi Commission for Health Specialties (SCHS) is required.
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