Medical Coder

· Outpatient claims, check scan claims and code through Electronic Health Record (EHR).

· Read and analyze the chief complaints and diagnosis written by the provider pertaining to the patient.

· Clarify inconsistent, doubtful, unclear handwritten diagnosis by consulting with the responsible medical practitioner or return to claims department for any corrections.

· Assign standard codes on medical diagnosis using ICD 10 AM-International Classification of Diseases and the Australian Classification of Health Interventions, for electronic submission of claims to the insurance company (except for Alico insurance ICD 9 cm).

· After coding for each insurance company, inform the accounts department for extracting the e-claims.

· Rechecking the extracted excel from the accounts department for any missing diagnosis, signs and symptoms and approval reference number. When it’s done, the accounts department will upload the e-claims to the insurance companies’ portal.

· Maintains strict confidentiality related to medical records and other data.

· Performs other related functions as assigned or required by the department head.

· Reviewing of patient medical file upon discharged.

· Ensures correct demographic information of the patient, treating doctors, dates of service corresponding with the number of days package approved.

· Reviews correct procedure codes billed and documented in operative report, any discrepancy will be clarified with responsible medical practitioner.

· For insurance patients, ensuring all surgical procedures, laboratories and some other services has been approved.

· Read and analyze the chief complaints and diagnosis written by the provider pertaining to the patient.

· Clarify inconsistent, doubtful, unclear handwritten diagnosis by consulting with the responsible medical practitioner for any corrections.

· Assign standard codes on medical diagnosis using ICD 10 AM-International Classification of Diseases and the Australian Classification of Health Interventions.

· Completion of the coversheet.

· Sending files to Auditor for any correction.

Rechecking the extracted excel from the accounts department for any missing diagnosis, signs and symptoms and approval reference number. When it’s done, the accounts department will · upload the e-claims to the insurance companies’ portal.

· Maintains strict confidentiality related to medical records and other data.

· Performs other related functions as assigned or required by the department head.

Job Type: Full-time

Application Question(s):

• Are you available in Qatar with transferable visa?

Experience:

• medical coder GCC: 2 years (Required)