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    • Familiarity with medical records management systems.
    • Comprehensive knowledge of medical terminology and anatomy.
    • Professional Communication and Collaboration.
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    • Certificate in ICD-10-AM Coding or relevant medical coding experience in a Hospital setting.
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Clinical Coder, Casemix

Full job description

Family Group: Ancillary

The Clinical Coder is responsible for performing accurate and timely ICD10-AM and DRG coding for all inpatient and day surgery cases, ensuring high-quality data submission to the Ministry of Health (MOH).

MAJOR DUTIES AND RESPONSIBILITIES

1) Clinical Coding Operations

Execute comprehensive ICD10-AM and DRG coding for all inpatient discharges and day surgery procedures in accordance with national coding standards
Interpret complex clinical data and medical documentation to generate precise DRG codes
Monitor uncoded cases list and coordinate with Medical Records Office staff regarding outstanding Hospital Inpatient Discharge Summaries
Initiate follow-up actions for unsummarised cases exceeding 72 hours post-discharge
Maintain strict adherence to patient confidentiality protocols and data security measures

2) Professional Communication and Collaboration

Liaise with healthcare professionals to clarify clinical documentation
Engage with relevant stakeholders to resolve coding queries and documentation gaps
Participate in coding quality improvement initiatives
Contribute to departmental coding standards and guidelines

3) Administrative Duties

Maintain accurate coding records and documentation
Undertake additional projects and duties as assigned by supervision/HOD

JOB REQUIREMENTS

Essential Skills and Competencies

Comprehensive knowledge of medical terminology and anatomy
Strong understanding of healthcare documentation and clinical workflows
Exceptional attention to detail and analytical capabilities
Proficient in relevant coding software and healthcare information systems
Excellent written and verbal communication skills
Good time management and organisational abilities

Technical Knowledge Requirements

In-depth understanding of ICD10-AM coding conventions and standards
Proficiency in DRG grouping methodologies
Knowledge of healthcare compliance and privacy regulations
Familiarity with medical records management systems

Key Performance Indicators

Coding accuracy rates
Timeliness of coding completion
Quality of documentation queries
Adherence to confidentiality protocols
Contribution to departmental objectives

Required Qualifications

Diploma/Degree in Health Information Management or equivalent qualification
Certification in Clinical Coding
Demonstrated proficiency in ICD10-AM and DRG coding systems
Minimum 2 years of clinical coding experience in a healthcare setting
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