Clinical Abstractor

Responsibilities:

• Review patient medical records, charts, and clinical documentation for accuracy and completeness.
• Extract, code, and summarize relevant clinical data according to established guidelines and standards.
• Ensure proper use of coding systems such as ICD-10, CPT, and HCPCS.
• Collaborate with healthcare providers and internal teams to clarify and verify information as needed.
• Maintain patient confidentiality and comply with HIPAA and other regulatory standards.
• Enter data accurately into electronic medical record systems or designated databases.
• Participate in quality assurance audits and provide feedback to improve documentation practices.
• Keep up-to-date with clinical guidelines, coding standards, and healthcare regulations.

Requirements:

• Bachelor’s degree in Nursing, Health Information Management, Medical Coding, or related field.
• Registered Nurse (RN) or other clinical background is highly advantageous.
• 3+ years of previous experience as a Clinical Abstractor, Medical Coder, or in health information management.
• Strong knowledge of medical terminology, clinical documentation, and coding standards.
• Excellent attention to detail and data accuracy.
• Proficiency with electronic medical records (EMR/HER) systems and Microsoft Office Suite.
• Strong organizational and time-management skills.
• Effective written and verbal communication skills for remote collaboration.
• Ability to work independently in a remote environment while meeting deadlines.
• Knowledge of coding systems and clinical documentation requirements.
• Ethical handling of sensitive patient information.

Renumeration: NGN 500,000 (Non-negotiable)