Medical Coder OP/IP

26/02/2024
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Job Description

Job Description

  • Ensure documentation and billing compatibility according to the rule engine.
  • Manage electronic claim submission processes.
  • Monitor E-Prescriptions for accuracy and timeliness.
  • Report day-to-day activities to the designated authority.
  • Handle queries from other departments regarding medical coding.
  • Coordinate with insurance companies to resolve E-Claim issues.
  • Answer staff queries related to medical coding.
  • Enter any missing codes to ensure completeness of the revenue cycle.
  • Contribute to updating the Hospital Management System (HMS) with relevant codes and information.
  • Liaise with approval, billing, and reconciliation teams for process completion.
  • Follow management priorities on a daily basis.
  • Support and strategize with the approvals team for efficient code-based approvals.
  • Report service level auditing findings and monitor compliance with insurance protocols.
  • Explore innovative strategies to enhance departmental performance.
  • Monitor the rule engine for predictable claim rejections and take necessary actions.
  • Ensure proper coding of diagnoses and procedures for accurate billing.
  • Implement initiatives to improve the institution’s revenue flow.
  • Manage denials effectively to minimize revenue loss.
  • Supervise DRG activities according to Assistant Insurance Manager/Insurance Manager instructions.

Qualifications:

  • Bachelor’s degree with a medical background.
  • Certified coder
  • 2+ Years of Experience in Healthcare.
  • Excellent communication skills at all levels including excellent listening skills.
  • Possess a strong working knowledge of Microsoft Office Suite including Internet Explorer, Outlook, Word, PowerPoint and Excel.
  • Good verbal and written communication skills.
Area
Dubai, UAE