OP Medical Coder Team Lead

NMC; Abu Dhabi; On-site; AED 120,000 - 200,000; Full time

Job summary

A healthcare institution in the United Arab Emirates is seeking a candidate to lead coding and billing initiatives. The role involves managing case assignments, improving billing practices, and training staff to meet performance goals. Candidates should have strong leadership skills and the ability to work within technical and patient confidentiality standards. Responsibilities also include ensuring accurate documentation and promoting effective communication with various teams. This is an opportunity to influence positive outcomes and enhance revenue generation within the organization.

Responsibilities

• Ensure work is performed within technical and patient confidentiality standards.
• Promote quality and cost-effective interventions and outcomes.
• Record cases information and complete necessary forms accurately.
• Develop effective working relations and provide feedback to teams.
• Handle case assignments and draft service plans.
• Evaluate healthcare treatments for cost effectiveness.
• Assist in timely discharge and evaluate documentation rigor.
• Train staff on coding expectations and goals.
• Audit charts regularly and implement performance improvement plans.
• Communicate coaching needs to address performance standards.

Job description

Responsibilities

• Ensures work is performed within the required technical and patient confidentiality standards
• 3.2 Promote quality and cost-effective interventions and outcomes
• 3.3 Record cases information, complete accurately all necessary forms and produce statistical reports
• 3.4 Develop effective working relations and provide feedback to administrative, medical and RCM team throughout the entire case management process
• 3.5 Handling case assignments, draft service plans, review case progress and determine case closure
• 3.6 Evaluating healthcare treatments and negotiating the most cost effective options available to manage DRG
• 3.7 Assist in timely discharge
• 3.8 Evaluate the rigor of documentation and code assignment (during IP stay with doctors) to ensure fair reimbursement
• 3.9 Evaluate and develop training sections to avoid rejections
• 3.10 Rejection analysis, management and coordination with responsible departments in developing collaborating strategies.
• 3.11 In coordination with the Revenue Cycle Manager implements standard operating procedures and guidelines for the coding section.
• 3.12 Provides leadership and guidance to staff when required to address issues or concerns.
• 3.13 Train the new and existing coding staff on coding expectations and meeting goals related to both quality and productivity which helps in upgrading the services’ codes and subsequently higher revenue.
• 3.14 Act as a mentor and resource to Coding Team members.
• 3.15 Monitor tasks to improve billing practices and increase revenue
• 3.16 Audit both IP and OP charts on a regular basis and share audit results with the team members and ensure that performance improvement plans are implemented. Submit audit report on a monthly basis to the corporate audit team
• 3.17 Attends Training and Meetings to receive updated billing and coding information
• 3.18 Assess /determines staff level and coordinates with Revenue Cycle Manager to meet defined KPIs.
• 3.19 Reports all staffing deficiencies and disciplinary issues to Revenue Cycle Manager by providing all documentation to ensure proper review and action.
• 3.20 Ensures adherence to objectives, operating policies and procedures and strategic action plans for achieving goals.
• 3.21 Provides leadership and motivation by addressing clear expectations, communicates specific performance feedback to Revenue Cycle Manager to ensure timely and thorough performance reviews using internal measurement/monitoring standards.
• 3.23 Communicates coaching needs for staff who failed to perform and deliver the prescribed and committed level of performance output and standards to the Revenue Cycle Manager.