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 Key Skills Collection And Recovery,Banking,ABAP,Insulation,Investment Management,Client Services Experience: years Vacancy: 1
