Medical Coder

· 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.