Medical Coding Senior Executive - Dubai

Ensures appropriate selection of principal diagnosis, qualifying secondary diagnosis, Impacting procedures and other services which are relevant for submission and reimbursement

Effective physician query process before code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition

Consistently maintain quality and productivity standards and achieve the productivity target and quality targets

Ensures to reduce rejections and get the claim paid at the initial submission of claims

Assign codes for preauthorization process and effective response to payer queries coordinating with the clinical team

Applying advanced knowledge of medical terminology, anatomy, and physiology, treatment modalities, diagnostic test, medications.

Ensure a high level of patient data confidentiality

Identify documentation deficiencies and query physician for clarification and additional documentation before code assignment

Perform other related duties incidental to the work described herein

Ensures that targets are met for department Turnaround time, Quality and Productivity

Adhere to the DHA Claims and Adjudication rules and coding guidelines

Education: Degree in any related field with medical/life science background

CCS (AHIMA) or CPC (AAPC) certification is mandatory

Minimum of two to three (2-3) years coding experience in any setting i.e., hospital, daycare center, or other related healthcare organizations in UAE is required

Knowledge of the billing process will be desirable. Both inpatient (IR-DRG) and outpatient coding experience are mandatory.

Expertise in medical record review to abstract information required to support accurate coding

Excellent communication skills

Good understanding of the preauthorization process and payer adjudication guidelines related to DHA

Expertise in assigning accurate ICD-10-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the IP/OP/ER setting.

Excellent interpersonal skills while interacting with physicians, nurses and other staffs

Multispecialty coding experience in surgery, IVR, labs, radiology and HCPCS coding for supplies & consumables

Aware of current trends related to medical necessity, DRG, and DHA Claims and Adjudication rules and coding guidelines