Senior Medical Coder

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