Medical Coder - Medical Coding Documentation

SANTECHTURE; Saudi Arabia; On-site; SAR 30,000 - 70,000; Full time

Job summary

An established industry player in the healthcare sector is seeking a skilled Medical Coder to ensure compliance with Saudi clinical coding standards. This role involves reviewing market protocols, managing coding integrity, and translating coding guidelines into actionable alerts. Ideal candidates will have a strong background in medical billing, excellent communication skills, and proficiency in healthcare information systems. Join a dynamic team dedicated to enhancing billing integrity and supporting healthcare providers in navigating complex coding issues. If you are passionate about making a difference in healthcare, this opportunity is for you.

Qualifications

• 2-5 years of experience as a Medical Coder in Saudi Arabia.
• Knowledge of Medical Billing in private healthcare insurance sector.

Responsibilities

• Act as a subject matter expert for clinical coding queries.
• Manage the integrity of the Rules engine and ensure accurate coding.

Skills

Medical Coding

Medical Billing

Communication Skills

Leadership Skills

Healthcare Information Systems

Bilingual Arabic/English

Education

Recognised Professional Certification in Medical Coding

Medical training as a Doctor, Nurse, or Pharmacist

Tools

Microsoft Office Suite

Job description

Responsible for reviewing and analysing market payer and regulator protocols and review medical records in order to abstract relevant data to support the creation of rules to ensure appropriate codes are assigned in accordance with the Saudi clinical coding system and standards. THYNK Rules will support billing integrity and provide best practice support through working closely with payers, regulators, and healthcare providers' revenue cycle departments to resolve coding/billing issues, investigating and resolving issues and incidents leading to non-compliance with regulatory policies or denials with payers in the Saudi market.

Primary Responsibilities

1. Act as a subject matter expert within the KSA Rules unit for all matters related to clinical coding queries under the Saudi Billing System, CCHI Coding Standards, and Australian Coding Standards (ACS).
2. Manage the integrity of the Rules engine by defining the correct implementation of the system.
3. Ensure accurate coding as specified by established coding principles and guidelines.
4. Translate region-based coding guidelines and local market practices into rule alerts by analysing ICD-10-AM (10th edition), ACHI, SBS codes (service codes), and drugs standards codes (HUMAN DRUGS LIST).
5. Handle email correspondence and troubleshoot with different departments for rule requests, suggestions, and queries.
6. Prepare crosswalks analysing local market practices and remittance advices.
7. Maintain and scrub the engine timely as per coding standards and local market practices.

Job Requirements

1. Minimum 2-5 years of experience as a Medical Coder in the Kingdom of Saudi Arabia.
2. Knowledge of Medical Billing within the private healthcare insurance sector is required.
3. Recognised Professional Certification in Medical Coding is highly desirable.
4. Experience working with insurance payers is preferred.
5. Familiarity with KSA local market regulations like CCHI, Health Council, and SEBAHI.
6. Excellent verbal and written communication and leadership skills.
7. Proficiency in Healthcare Information Systems and Microsoft Office Suite.
8. Bi-lingual Arabic/English is preferred.
9. Medical training as a Doctor, Nurse, or Pharmacist is highly desirable.