Clinical Coder Technician II

Job Purpose :

The clinical coder is responsible for translating the narrative descriptions of diseases, injuries, other health related problems, and procedures into alphanumeric and numeric codes using ICD-10-AM/ACHI/ACS.

Key Accountabilities & Responsibilities:

• Read and analyze the patient’s record to abstract all possible diagnoses and interventions relevant to the current episode of care.
• Allocate codes to the current episode of care, using knowledge of the information contained within the ICD-10-AM and ACHI. International Classification of Diseases, 10th Revision, Australian Modification, commonly referred to as ICD-10-AM and Australian Classification of Health Intervention (ACHI).
• Utilize the 3M Code Finder software, relevant patient information systems, and related pathology and associated databases to assist in verification and allocation of clinical codes.
• Interact with clinicians to clarify documentation in specific patients’ records, in order to assign codes in a timely and accurate manner using coder-clinician communication query form.
• Assess the patient’s record content and bring any concerns about the accuracy, consistency, or ethics of the documentation to the attention of management.
• Assist with the education of clinicians with regard to ICD-10-AM.
• Initiate, participate in, and contribute to quality improvement and education activities and initiatives.
• Maintain strict confidentiality about patient’s record.
• Act in a manner congruent with the maintenance of a safe and harmonious workplace.
• Follow all applicable policies and procedures.
• Respects patients and their families to promote a patient-centered care culture.
• Participates in and supports quality improvement and patient safety activities as an individual or as part of a multidisciplinary team.

Perform other duties related to the job as required.

Qualification and Experience

Minimum or Required: 2 Years Diploma in Health Information Management, Health Information System, or any related field.

• SCHS Registration/License in Medical Coding.

Or

• Bachelor Degree in Science or English + 1 year diploma in Medical Coding.

SCHS Registration/License in Medical Coding. 

- 2 years of Experience.

Preferred: HIMAA ICD-10-AM Intermediate Course