Medical Coder

JOB SUMMARY:

The Medical Coder is responsible for reviewing coding of medical cases, handling claims submission to payers, and all revenue cycle/billing tasks assigned. The role is also responsible in ensuring the accuracy of the coding in patient health records.

KEY ACCOUNTABILITIES AND ACTIVITIES

Data & Records Management

Reviews medical records documented by physicians, nurses and other clinical staff

and ensures all medical records are in place with no missing documentation.

Validates physicians clinical documentation data quality and provides documentation

tips/training to concerned staff for improved reporting to senior management.

Provides data to authorized personnel for studies and/or research purposes.

Assists in external medical audits by coordinating with the auditors and providing

access to the required medical records.

Performs periodic internal audits to improve and sustain quality levels and

compliance.

Medical Coding

The incumbent checks and sequences the most accurate ICD10-

CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented

information.

Assures the final diagnoses and operative procedures stated by the physician are

valid and complete

Abstracts all necessary information from health records to identify secondary

complications and co-morbid conditions.

Evaluates the record for documentation consistency and adequacy. Ensures that the

final diagnosis accurately reflects the care and treatment rendered. Computes and

gives the correct DRG coding for all inpatients cases.

Query physicians when code assignments are not straightforward or documentation

in the record is inadequate, ambiguous or unclear for resubmission purposes.

Ensures coding as per DOH/DHA guidelines and regulations.

To perform any other duty as required by the line manager or supervisor that

commensurate with the post.

QUALIFICATION & EXPERIENCE REQUIREMENTS

Bachelor's Degree in Health Information Management or any relevant fields

Minimum 2-3 years of career experience

Relevant experience in a hospital/medical center environment within UAE

Coding certificate by AAPC / AHIMA

Knowledgeable of DOH/DHA and HIPPA rules and regulation

Strong analytical and problem-solving skills

Proficiency with Microsoft Office suite

Fluency in written and spoken English