Clinical Coder

SEHA; Abu Dhabi; On-site; AED 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in the UAE is seeking a skilled Hospital Coder to accurately code outpatient health records. The role involves navigating electronic health records, consulting various materials for code assignment, and collaborating with healthcare teams to resolve billing issues. A strong understanding of diagnosis-procedure linking and knowledge of applicable UAE laws are essential. The candidate should also maintain coding accuracy and productivity standards while adhering to ethical practices.

Qualifications

• Proficient in navigating electronic health records and coding systems.
• Excellent understanding of diagnosis and procedure linking.
• Up-to-date knowledge of coding standards and regulations.

Responsibilities

• Navigate patient health records for coding.
• Consult materials to assist in code assignment.
• Collaborate with revenue cycle management for reimbursement issues.

Skills

Coding accuracy

Knowledge of UAE laws and regulations

Attention to detail

Education

Certification in medical coding

Tools

Encoder software

Retrospective edit tool

Job description

SEHA Hospital Coder will competently navigate the patient health record and other computer systems/sources in the determination of appropriate diagnoses and procedures. Codes Routine Outpatient health records (utilizing encoder software and online tools and references in the assignment of codes). Consults reference materials to facilitate code assignment. Validates charges by comparing charges with health record documentation as necessary. Understands the appropriate link of diagnosis to procedure when applicable. Appends modifier(s) to procedure or service code when applicable. Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtained from the health record. Consults with CDI, physicians, or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous information. Collaborates with Revenue Cycle Management teams in resolving billing and utilization issues affecting reimbursement. Interprets bundling and unbundling guidelines (NCCI). Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion. Investigates claims denials and/or appeals as directed. Consistently meets or exceeds coding quality and productivity standards established by Revenue Excellence. Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. Identifies concerns and is responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate. Performs other duties as assigned by Leadership. Maintains a working knowledge of applicable coding and reimbursement with UAE laws and regulations, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.