Dental Coder

Job summary:

We are seeking an experienced Medical Coder to join our healthcare team . The ideal candidate will have a strong background in medical coding, with specific expertise in handling preapprovals, invoicing, submissions, and resubmissions. The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies, and optimizing the revenue cycle management process.

Key Responsibilities:

• Medical Coding:
• Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes
• Ensure that all coding meets regulatory and insurance requirements
• Preapprovals:
• Handle the submission and follow-up of preapproval requests for medical procedures and treatments with insurance companies
• Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals
• Invoicing:
• Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information
• Collaborate with the finance department to ensure timely and accurate billing
• Submissions and Resubmissions:
• Submit medical claims to insurance companies and follow up on the status of submitted claims
• Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment
• Communicate with insurance companies to resolve any discrepancies or issues related to claims
• Compliance:
• Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations
• Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements
• Documentation:
• Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities
• Generate reports on coding and billing activities for internal review and analysis

Understand, follow and support all hospital infection control programs.

Requirements

Qualifications:

• Education:
• Diploma or degree in Medical Coding, Health Information Management, or a related field
• Certification:
• Certified Professional Coder (CPC) or equivalent certification is required
• Experience:
• Minimum of 2 years of experience in medical coding, with specific experience in 1) preapprovals, 2) invoicing, 3) submissions, and 4) resubmissions
• Knowledge:
• In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with UAE healthcare regulations and insurance processes is preferred. DHA issued policies
• Skills:
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Proficiency in using medical coding software and electronic health records (EHR) systems
• Ability to work independently and manage multiple tasks efficiently

Job Types: Full-time, Contract

Pay: AED2,500.00 - AED4,000.00 per month

Experience:

• Medical coding: 1 year (Required)