Senior Medical Coder

Ghobash Group

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أبوظبي - الإمارات

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تاريخ النشر: نُشرت قبل 26 يوم
عدد الوظائف الشاغرة: 1 عدد الوظائف الشاغرة

ملخص الوظيفة

Senior Medical Coder who can reviews analyzes and accurately assigns standardized medical codes (e.g. ICD-9/10CM CPT HCPCS DRG) for home-based medical services. This ensures proper reimbursement regulatory compliance and coding integrity across the patient care documentation and billing cycle.

Key Responsibilities:

  • Assigning ICD and CPT codes to Homecare and Outpatient center.
  • Coordinate with insurance company for approvals.
  • Responsible for handling the insurance clarifications and reporting the details to the insurance on timely basis.
  • Handling Rejections and Resubmitting the E claims
  • Communicating documentation improvement opportunities and coding issues to
  • appropriate personnel
  • Submission to all claims at the end of the day for outpatient
  • Billing and submission of Homecare claims on every week without missing
  • Communicating with coworkers for Preapproval documents and tracking the approval homecare approval expires cases.
  • Query physician for clarification when documentation is inadequate ambiguous or unclear for coding purposes.
  • TASNEEF and Abu dhabi insurance coding guidelines prepared and maintained all documents accordingly.
  • Preparing Jawadha audit documents and tracking accordingly
  • Providing support to management if any other RCM related
  • Denial Management Resubmitted the claims either rejected from insurance appropriate correction with detailed explanation as per the general coding guidelines and insurance specific rules.

Qualifications :

  • Bachelors degree in related field preferred
  • Bachelors degree in medical related (Nursing Physician Physiotherapy )

Additional Information :

  • Mandatory Certification from CPC or CCS by AHIMA
  • 2 years experience as a medical coder
  • Advanced understanding of medical terminology and administration processes.

Remote Work :

No


Employment Type :

Full-time

Senior Medical Coder who can reviews analyzes and accurately assigns standardized medical codes (e.g. ICD-9/10CM CPT HCPCS DRG) for home-based medical services. This ensures proper reimbursement regulatory compliance and coding integrity across the patient care documentation and billing cycle.Key Re...
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المهارات المطلوبة

  • عمليات الجمع والاسترداد
  • الخدمات المصرفية
  • ABAP
  • العزل
  • إدارة الاستثمارات
  • خدمات العملاء

عن الشركة

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Established in 1981, Ghobash Group stands as a distinguished UAE-based conglomerate renowned for its highly diversified and progressive business ventures. With a robust portfolio spanning eight pivotal sectors, including a strong focus on Technology, Energy & Utilities, and Healthcare ... اعرض المزيد

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