Medical Coder Receptionist

Job Responsibilities:

• Handle information about patient treatment diagnosis and related procedures to ensure proper coding.
• Reading and analyzing patient records.
• Flexible working at Reception, managing insurance and claims.
• Interacting with physicians and assistants to ensure accuracy.
• Score medical condition and services for new and established patients.
• Follow up with insurance company regarding required reports or information.
• Determine the correct codes for patient records.
• Prepare all reports and documents required by the insurance company to grant preapproval.
• Entering and coding patient services into a Daman Insurance system and generating approval letters for provided services.
• Submit claims to insurance and follow up to see if a claim is accepted or denied.
• Handle insurance claims and follow up on rejected claims.
• Review and appeal denied and unpaid claims.
• Process payments from insurance companies.
• Work directly with the insurance company, the patient, and the medical staff to get a claim processed and ultimately paid.
• Provide information to patients and the healthcare team by answering questions and requests.
• File and ensure proper documentation of patient files.
• Keep track of patient data over multiple visits.
• Maintain documentation of patient care services by auditing patient and department records.
• Arrange patients' files and records.
• Conduct internal audits of PMSs home healthcare documentation.
• Prepare and submit JAWDA KPI report.
• Collect and save all KPI reports.
• Maintain patient confidentiality and information security.
• Perform Coding Audit (Tasneef) and prepare all documents required for it.
• Ensure compliance with DOH and TASNEEF quality standards.
• Ensure compliance with DAMAN requirements and standards.
• Participate in policy-making and decision-making in relation to PMSs Rehab Center billing and coding practices.

Qualifications:

Bachelor's degree in a related field preferred, including medical-related fields (Nursing, Physician, Physiotherapy).

Additional Information:

Mandatory Certification from CPC or CCS by AHIMA.

2 years experience as a medical coder.

Advanced understanding of medical terminology and administration processes.

Remote Work:

No

Employment Type:

Full-time