Senior Clinical Coder Technician

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.

Job Requirements

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. with 4 years of Experience 

Preferred: HIMAA ICD-10-AM Intermediate Course