Medical Coder

Medical Coder

The Medical Coder will be responsible for ensuring precise and compliant coding of all clinical procedures and diagnoses across outpatient and inpatient services. The role requires deep expertise in CPT coding and solid understanding of ICD-10-AM for accurate claim processing and reimbursement. The ideal candidate will ensure that all submitted claims reflect the true scope of medical services provided and comply with Qatar’s payer and MoPH requirements.

Key Responsibilities

• Review clinical documentation for consultations, procedures, and surgeries to assign accurate CPT codes and corresponding ICD-10-AM codes.
• Validate that all CPT codes accurately reflect the services rendered, including modifiers and multiple procedure rules.
• Collaborate with physicians to ensure documentation supports the CPT codes used for billing.
• Review, audit, and correct codes prior to claim submission to avoid denials or underpayment.
• Reconcile discrepancies between clinical, billing, and coding data to maintain accuracy.
• Stay up to date on CPT updates, NCCI edits, and payer-specific coding policies.
• Support the billing and insurance teams in claim review and appeals by providing coding justifications.
• Prepare monthly coding quality reports and identify trends in documentation or claim rejections.

Minimum Requirements

• Bachelor’s degree or diploma in Health Information Management, Medical Records, or related field.
• Valid medical coding certification (CPC, CCS, or equivalent).
• Minimum 3 years of coding experience
• Advanced proficiency in CPT coding for medical, surgical, and diagnostic procedures.
• Working knowledge of ICD-10-AM and insurance claim requirements in Qatar.
• Familiarity with payer systems such as AlKoot, QLM, GlobeMed, etc.
• Strong communication and documentation review skills.
• Ability to meet deadlines with a high level of accuracy and attention to detail.
• Ability to provide physician feedback on documentation improvement.
• Working knowledge of claim resubmission and coding audits.

Job Type: Full-time