Medical Coder

Confidential Company; Abu Dhabi; On-site; AED 60,000 - 100,000; Full time

Job summary

An established industry player in healthcare is seeking a skilled medical coder to ensure the accuracy of coding for diagnoses and procedures. In this role, you will review and interpret patient medical records, adhering to regulatory standards while providing accurate coding and documentation. Your expertise will help maintain the integrity of medical records and facilitate effective communication with insurance companies. If you have a strong background in medical coding and a passion for enhancing healthcare processes, this opportunity is perfect for you. Join a dynamic team dedicated to delivering high-quality healthcare services.

Qualifications

• Minimum 2 years of experience in outpatient settings, preferably in Abu Dhabi.
• Strong background in insurance pre-approvals across multiple departments.

Responsibilities

• Review and interpret patient medical records for accurate coding.
• Ensure compliance with DOH/DHA/MOH claims adjudication rules.
• Assist in creating reports on unbilled records due to documentation errors.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Medical Record documentation

Insurance pre-approvals

Education

Certification in Medical Coding

Job description

· Reviews and interprets patient Medical Record (EMR and Paper based) documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, CPT and HCPCS codes accurately and timely to the highest level of specificity based upon physician documentation.

· Follow DOH/DHA/MOH claims adjudication rules.

· Ensures that codes for diagnosis and procedures are as per the requirement standards.

· Provide accurate answers to queries on coding.

· Contacts the department/section and obtains copies of additional documentation.

· Assigns the codes for completing coding summary of the medical records.

· Tracks complaints and incidents occurring within the coding section, and reports these occurrences to the head of department.

· Maintains consistency in information data flow and documentation requirements for effective medical coding and grouping.

· Ensures that encoded information is reported with the most accurate information.

· Ensures continuous studies on coding practices and coding schemes to enhance the accuracy and timely completion of coding data.

· Assists the department in creating reports on unbilled records due to documentation, charge errors, and registration errors.

· Assists with the preparation of medical records for quality assurance and medical audit purposes by providing the coding data.

· Adheres to CMC standards as they appear in the Code of Conduct and Conflict of Interest policies.

· Serve as the liaison between insurance companies and CMC group, communicating needs and concerns so they can be handled expeditiously.

Desired Candidate Profile

Experience: Minimum 2 years in an outpatient setting (preferably in a multispecialty clinic in Abu Dhabi).

Requirements: Strong background in insurance pre-approvals across multiple departments.