Medical Coding Senior Executive - Onsite - Dubai
Medical Records Coder will be responsible for reviewing, interpreting and abstracting clinical information from medical records for the purposes of reimbursement, research and compliance utilizing coding guidelines within established productivity standards for all accounts assigned. Uses transcribing and word processing equipment, transcribes medical, technical, and personal patient information to support clinical documentation and revenue cycle functions. Checks and distributes reports and files in patient records. Maintains patient confidentiality.
Roles and Responsibilities
Ensure appropriate selection of principal diagnosis, qualifying secondary diagnosis, impacting procedures and others services which is relevant for submission and reimbursement.
Effective physician query process prior to code assignment to obtain greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets
Ensures to reduce rejections and get the claim paid at the initial submission of claims
Perform other related duties incidental to the work described herein
Identify documentation deficiencies and query physician for clarification and additional documentation prior to code assignment
Adhere to the DHA Claims and Adjudication rules and coding guidelines
Assign codes for pre-authorization process and effective response to payer queries coordinating with clinical team
Ensures to reduce rejections and get the claim paid at the initial submission of claims.
Perform other related duties incidental to the work described herein.
Education, Experience, and skills needed
Education: Degree in any related field preferably medical or life science background. CCS (AHIMA) or CPC (AAPC) certification is mandatory
Minimum of one-two (1-2) years coding experience in any setting i.e. Payer, hospital, clinic, or other related healthcare field preferably in UAE is required
Willingness to work in different shifts
Willingness to work from different facility
Basic knowledge in medical record review to abstract information required to support accurate coding
Good skill in assigning accurate ICD-10-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the OP/ER/IP setting.
Excellent interpersonal skills while interacting with physicians, nurses and other staffs
Knowledge on Diagnosis related grouping
Aware of current trends related to medical necessity, DRG and DHA and Adjudication rules and coding guidelines
Proficiency in the use of PCs and MS Office suite
Excellent in communication skills.
Good understanding of pre-authorization process and payer adjudication guidelines related to DHA or HAAD
