Locum Assistant Medical Coder

American Hospital Dubai; Dubai; In loco; AED 120.000 - 180.000; Tempo pieno

Descrizione del lavoro

American Hospital Dubai is seeking a Medical Coder to ensure accurate diagnosis and procedure coding following DHA e-claims guidelines for hospital claims including self-pay. The role abstracts patient demographics and clinical data for reporting and supports the Revenue Cycle Management team in coding and billing processes.

The ideal candidate will have a Bachelor’s degree (medical preferred) with CCS or CPC credentials, knowledge of ICD-9/ICD-10, CPT-4, and EMR systems, and strong English

Competenze

• Bachelor’s degree in any field, medical preferred
• CCS accreditation by AHIMA or CPC by AAPC
• Experience in ICD-9-CM/ICD-10 coding and UAE claim handling

Mansioni

• Encodes diagnoses and procedures using ICD-9-CM/ICD-10.
• Creates abstracts of demographics and medical information for coding systems.
• Reviews statements for prescribed diagnostics, pharmacy items, and procedures in EMR/claims.
• Assigns CPT-4 codes for outpatient billing and approvals.
• Ensures documentation supports coding to the highest specificity.
• Maintains confidentiality and adheres to privacy requirements.

Conoscenze

Communication

Interpersonal skills

English fluency

Arabic language

Formazione

Bachelor’s Degree (medical preferred)

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Strumenti

CEED (Coding Edit Engine)

EMR systems

Microsoft Office

Descrizione del lavoro

Ensures accurate assignment and verification of diagnosis and procedure codes following established coding guidelines and Dubai Health Authority (DHA) e-claims guidelines for all Hospital Claims including self-pay. Abstracts appropriate data for reporting from inpatient, day surgery, and outpatient encounters. Supports activities of the Revenue Cycle Management Department such as assigning procedural codes, Healthcare Common Procedure Coding System (HCPCS) codes and diagnosis codes at the preauthorization level.

Responsibilities

• Encodes all relevant, current, and documented diagnoses and procedures as performed by attending physicians utilizing the appropriate International Classification of Diseases (ICD) coding.
• Creates an abstract of all demographics, statistical and medical information from each patient record and enters the data into the coding/abstracting system.
• Understands Health Insurance Policy Terms, Coverage, Exclusions and Approval requirements as per the contractual and regulatory obligations.
• Reviews electronic statements for all prescribed diagnostics and pharmacy items along with procedures and complications as documented in the EMR, Claim Form/ operative reports.
• Assigns appropriate codes and send a request to the physician wherever required.
• Ensures Documentation is completed and specific for coding to the highest specificity/severity.
• Applies the appropriate guidelines for the assignment of principal and secondary procedures utilizing the Current Procedural Terminology (CPT) 4 procedure code when reviewing claims with the Outpatient Coordinator for billing purposes.
• Reviews Approval tracks are entered for all approval-required services like Antenatal Consultations, Diagnostics like CT, MRI, and Surgical Procedures, etc. as per the Quick Chart/DPP.
• Prepares Billed Services should be as per the Approval provided by the Insurer/Corporate.
• Reviews services are repeated within the same day and clarifications/medical necessity are sought from the Physician/Laboratory/ Medical Imaging, etc.
• Reviews Coding Edit Engine of Dubai (CEED) filtered Medical necessity/coding edits and ensures additional ICD codes are applied as required/suggested by the Insurance Coordinator.
• Estimates cost preparation received from different clinic teams for self-pay patients.
• Maintains confidentiality regarding department activities.
• Ensures physician queries are sent and reported.
• Ensures daily productivity is achieved.
• Ensures delegated insurance, corporate, and self-pay batches are closed and dispatched in line with the dispatch schedule.

Qualifications

• Bachelor’s Degree in any field, Medical preferred
• Certified Coding Specialist (CCS) accredited by the American Health Information Association (AHIMA) or
• Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC)

PROFESSIONAL EXPERIENCE:

• Minimum of zero (0) to one (1) year of experience in ICD-9-CM or ICD-10 coding in an organization handling claims.
• Knowledge of Health Insurance Policy Terms, Coverage and Exclusions in the UAE preferred.
• Skills in working with Microsoft Office applications (e.g. Excel, Outlook, and Word).
• Skills in Communication and Interpersonal preferred.
• Ability to speak and write in English fluently.
• Ability to communicate in Arabic preferred.