Title Medical Coder - Abu Dhabi, United Arab Emirates - Talent Pal

Description

ID Category Revenue CycleManagement Asset: Name Healthpoint Location : Name Abu Dhabi

Overview

Reporting to the Senior Medical Coder/ CodingSupervisor the Medical Coder role is responsible for reviewingcoding of medical cases handling claims submission to payers andall revenue cycle/billing tasks assigned. The role is alsoresponsible in ensuring the accuracy of the coding in patienthealth records.

Responsibilities

BusinessStrategy

• Proactivelyparticipates in collaboration with the Line Manager to meet thedivisions strategic and operational goals.

Organizational Culture &Compliance

• Adheres to thedivisions policies procedures and standards while ensuringcompliance with applicable regulatory bodies.
• Provides recommendations towards improving the divisions policiesand procedures wherever applicable.
• Contributes towards an innovative culture of continuous improvementfor enhancing operational efficiency and
  effectiveness.
• Participates in meetings andmaintain professionalism and confidentiality as per theorganizations standard code of conduct.
• Timely completion of personal performance evaluationcycle.

Data &Records Management

• Reviews medical records documented by physicians nurses and otherclinical staff and ensures all medical records are in place with nomissing documentation.
• Validates physiciansclinical documentation data quality and provides documentationtips/training to concerned staff for improved reporting to seniormanagement.
• Provides data to authorizedpersonnel for studies and/or research purposes.
• Assists in external medical audits by coordinating withthe auditors and providing access to the required medicalrecords.
• Performs periodic internal audits toimprove and sustain quality levels and compliance.

Medical Coding

• The incumbent checks and sequences the mostaccurate ICD10CM/CPT/HCPCS/DRG/Other codes for diagnoses andprocedures for documented information.
• Assures the final diagnoses and operative procedures stated by thephysician are valid and complete.
• Abstractsall necessary information from health records to identify secondarycomplications and comorbid conditions.
• Evaluates the record for documentation consistency and adequacy.Ensures that the final diagnosis accurately reflects the care andtreatment rendered. Computes and gives the correct DRG coding forall inpatients cases.
• Query physicians whencode assignments are not straightforward or documentation in therecord is inadequate ambiguous or unclear for resubmissionpurposes.
• Ensures coding as per DOH/DHAguidelines and regulations.
• To perform anyother duty as required by the line manager or supervisor thatcommensurate with the post.

SelfManagement

• Actively participates in organizational trainingprograms and on the job learning to continuously learn and enhanceskillset required to perform the job.

Communication

• Communicates effectively with team members and maintaingood interfunctional liaison to ensure smooth implementation ofoperational activities.

Qualifications

Education

• Bachelors Degree in Health Information Management or anyrelevant fields

Experience

• Minimum 45years of progressive career experience
• Relevant experience in a hospital/medical center environment withinUAE

Certification andLicensure

• Codingcertificate by AAPC / AHIMA

Job Specific Skills and Abilities

• Knowledgeable of DOH/DHA and HIPPA rules andregulation
• Strong analytical andproblemsolving skills
• Proficiency withMicrosoft Office suit

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