Clinical Coder

The Clinical Coder is responsible for reviewing and analyzing medical records in order to abstract relevant data from patient medical records and ensuring appropriate codes are assigned in accordance with the clinical coding system. The Clinical Coder shall ensure that the financial activities for patients run efficiently and effectively according to international standards by following the facility’s approved policies and procedures.

• Assist in formulating and ensuring delivery of the Hospital corporate strategies and strategic plans.
• Work with the RCM supervisor to develop the patient financial service standards and ensure they are consistently met.
• Act as a role model to deliver high operational performance standards by developing and supporting the RCM and Finance team.
• Collaborate with all levels of interdisciplinary teams, executive officers and other stakeholders in the development, implementation, and evaluation of programs and services.
• Review and analyse patient medical records to ensure all applicable patient data is available for coding and abstracting by checking the diagnosis and procedure.
• Ensure accurate coding and sequencing as specified by established coding principles and guidelines, following the clinical coding system.
• Allocate the appropriate and specific codes from the indexing system and assigning the codes for completing coding summary of the medical records.
• Assist with the preparation of medical records for the quality assurance and medical audit purposes by providing the coding data.
• Investigate and resolve problems, complaints and incidents occurring within the coding section, and reporting these occurrences to the RCM supervisor for further action.
• Ensure timely completion of medical coding as per the orders.
• Ensure consistency in information data flow and documentation requirements for effective medical coding and grouping.
• Collaborate with clinical and non-clinical staff in research projects, teaching activities, evaluation of medical records etc. by utilising the coding database.
• Apply knowledge of basic medical sciences and medical terminology skills.
• Conduct periodic audits on coding process and ensure the coding is conducted as per the set standards.
• Coordinate with the data analysis section for coding statistics requirements, and with other sections in medical records, for other clerical-related transactions/arrangements.
• Perform other applicable tasks and duties assigned within the realm of his/her knowledge, skills and abilities.
• The coder may need to map clinical data to specific codes that align with different healthcare databases or insurance company requirements. Mapping ensures that the coding is consistent across various platforms and meets industry standards.
• The duty will be scheduled in shifts based on work requirements." Perform front-desk duties and administrative work when needed

• Bachelor's degree or equivalent in Clinical Coding or HIM Must have Saudi Commission for Health Specialties (SCFHS) for coding
• 2-3 years experience in an acute care hospital Medical Record Department as a Coder of inpatient records, inclusive of ICD
  10-CM coding or equivalent and statistical compilation.