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Medical Coder

JOB_REQUIREMENTS

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Salary

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Responsibilities

  • Follow the mandatory SOP, checklist and relevant payer and coding guidelines.
  • Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)
  • Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.
  • Supporting details/ justification available in EMR of all investigation done.
  • Checking all CPT codes entered are correct based on CPT guidelines.
  • Checking excluded ICD and CPT based on Coding guidelines.
  • Approved services and rendered services are match.
  • Ensuring all requested investigations are done and invoiced.
  • Check the claim with correct Receiver and Payer name before finalizing the bill.
  • Check the claim with correct Patient Copay application.
  • Ensure all claims are submitted to insurance company.
  • Check the payer’s name, rate plan and plan name selected properly.

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