Medical Coder

Prime Healthcare Group; Dubai; On-site; AED 111,600 - 167,400; Full time

Job summary

Prime Healthcare Group is looking for a professional in Dubai to coordinate with physicians for accurate clinical documentation and ensure compliance with DHA guidelines. This role involves preparing reports and ensuring timely submission of medical claims.

The successful candidate will manage coding processes and regularly review patient bills for accuracy while working closely with the insurance team.

Responsibilities

• Coordinate with physicians for accurate clinical documentation.
• Provide feedback regarding coding errors.
• Coordinate with Insurance team for pre-authorization.
• Abstract necessary information from health records.
• Ensure compliance with DHA guidelines.
• Prepare statistical reports of coded data.
• Ensure timely submission of medical claims.
• Review patients' bills for accuracy.
• Follow up with unpaid claims.

Job description

Responsibilities

Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimize denials. Provides feedback regarding coding errors and oversight. Coordinates with the Insurance team for procedures that may need authorization prior to billing. Abstracts necessary information from health records to identify secondary complications and co‑morbid conditions. Ensures coding is following DHA guidelines and regulations. Prepare statistical and analytical reports of coded data for facility administration and improvements. Ensures timely submission of medical claims to insurance companies by obtaining referrals and pre‑authorization. Reviewing patients bills for accuracy. Following up with unpaid claims within standard billing cycle time frame. Checking insurance payment for accuracy and compliance with any contract discount.