Bachelors degree, with at least 2 years of clinical experience
Certified Medical Coder (ICD 9, ICD 10, CPT) Minimum 2 years claims processing experience in an Insurance / TPA environment.
Collaborate with billing department to ensure all bills are satisfied in a timely manner.
•Ensure that codes tally with doctors’ diagnosis Advocate for patients where their medical history is needed as evidence.
• Evaluate and re-file appeals of patient claims that were denied. Be updated about new coding rules as codes change from time to time.
•Develop good client relationship in the course of duty. Collect and distribute coding related information and billing issues.
•Provide accurate answers to queries on coding
•Auditing claims (checking insurance card number and emirates ID, ensuring claims are billed correctly under the patient’s respective insurance company)
Reviewing the medical records and giving awareness about improper documentation, and implement an action plan to correct the missing and errors of documentation
Evaluate and process medical claims promptly and effectively, according to operations set standards, while demonstrating expertise in International Coding standards.
Assign and sequence all codes for services rendered.
Comply with all legal requirements regarding coding procedures and practices.
Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures.
Submit statistical data for analysis and research by other departments.
Conduct audits and coding reviews to ensure all documentation is accurate and precise.