Clinical Coder

Brief Summary

• Perform accurate and timely clinical and Diagnosis-Related Group (DRG) coding for inpatient discharges and procedures. Collaborate with healthcare professionals, conduct coding audits, and support related administrative activities.

Responsibilities

• Conduct internal audits of coded cases to verify accuracy and compliance with established coding standards. Complete DRG coding for inpatient, day surgery, dental, and endoscopy discharges within the required submission timelines. Achieve the required coding turnaround time, including completion within 14 days and maintaining an error rate below 4%. Review medical records and identify incomplete or missing information required for accurate coding. Liaise with clinicians and relevant healthcare professionals to obtain clarifications for complex or uncertain cases. Provide DRG codes and supporting clarifications to relevant authorities and insurance companies within the specified timeframe. Support the consistent application of approved coding procedures and standards. Undertake other related projects and duties assigned by the Manager.

Requirements

• Degree or diploma in Nursing, Healthcare, or a related discipline, or an equivalent qualification. At least one year of coding experience in a hospital setting is preferred. Knowledge of ICD-10-AM coding standards. Ability to work independently and collaboratively with attention to detail. Strong organisational and interpersonal skills. Working knowledge of Microsoft Office applications, including Excel, Word, and PowerPoint.