Job Summary

The Medical Coding Executive plays a critical role in ensuring the accurate translation of medical services into standard codes for claims processing and clinical data reporting.

This position supports the organization’s operational integrity by applying internationally accepted coding systems (such as ICD-10, CPT, and HCPCS) to medical records and claims, facilitating prompt and accurate reimbursement and compliance with regulatory standards.

Responsibilities

Medical Coding and Documentation

• Assist in reviewing medical tariff codes (e.g. ICD-10, CPT) under supervision.
• Support the team in ensuring accuracy and compliance with coding guidelines and HMO policies.
• Work with healthcare providers and internal teams to clarify basic documentation and coding issues.
• Continuously learn medical terminology, coding standards, and industry requirements.
  
  Reporting and Compliance
• Help prepare simple reports and summaries related to coding and claims activities.
• Ensure assigned tasks comply with NHIS and other regulatory guidelines.
• Support internal reviews and audits as required.
  
  Collaboration and Communication
• Work with different teams such as Provider Relations, Underwriting, and Medical
  Review.
• Support awareness by sharing basic coding knowledge with colleagues when
  required.
• Attend training sessions and learning programmes to build professional skills.
  
  Data Protection & Confidentiality
• Uphold the highest standards of confidentiality in handling company-related
  information, ensuring compliance with data protection laws and internal policies.
• Adhere to the company’s information security guidelines, including proper storage, transmission, and disposal of sensitive materials.
• Promptly report any suspected data breaches or unauthorized access to the
  appropriate company authority.
• Participate in periodic data protection training to stay informed about evolving security risks and best practices.

General Assignment

• Execute any other duties and tasks that may be designated or assigned by the
  Company.
• Participate in the knowledge sharing programme of the department and the
  company
• To provide supports to your manager, Managing Director and Vice Chairman as may be required towards serving the Board, Management and staff.

Qualification

Education

• Bachelor’s degree in Health Information Management, Nursing, Medical Sciences, or related field.

Experience

• 0–1 year of experience in medical coding within an HMO, hospital, or health insurance setting. (NYSC or internship experience is an added advantage).

Skills and Competencies

• Basic understanding of medical terminology (or willingness to learn).
• Strong attention to detail and accuracy.
• Good analytical and problem-solving skills.
• Effective communication skills (written and verbal).
• Ability to learn quickly and adapt in a fast-paced environment.
• Good interpersonal skills and ability to work in a team.
• High level of integrity and professionalism.
• Familiarity with HMO claims workflows and healthcare regulatory guidelines.
• Detail-oriented with strong analytical and problem-solving skills.
• Ability to work both independently and collaboratively within a team environment.

KPIs and Performance Metrics

1. Coding Accuracy Improvement – Progress in coding accuracy over time.
2. Learning & Certification Progress – Completion of required training and certifications.
3. Task Turnaround Time – Timeliness in completing assigned tasks.
4. Error Identification Rate – Ability to detect and escalate errors.
5. Team Collaboration Score – Feedback from supervisors and team members.