Medical Coding Senior Executive - Onsite - Dubai

Ensure appropriate selection of principal diagnosis, qualifying secondary diagnosis, impacting procedures and others services which is relevant for submission and reimbursement.

Effective physician query process prior to code assignment to obtain 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

Perform other related duties incidental to the work described herein

Identify documentation deficiencies and query physician for clarification and additional documentation prior to code assignment

Adhere to the DHA Claims and Adjudication rules and coding guidelines

Assign codes for pre-authorization process and effective response to payer queries coordinating with clinical team

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

Perform other related duties incidental to the work described herein.

Education: Degree in any related field preferably medical or life science background. CCS (AHIMA) or CPC (AAPC) certification is mandatory

Minimum of one-two (1-2) years coding experience in any setting i.e. Payer, hospital, clinic, or other related healthcare field preferably in UAE is required

Willingness to work in different shifts

Willingness to work from different facility

Basic knowledge in medical record review to abstract information required to support accurate coding

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

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

Knowledge on Diagnosis related grouping

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

Proficiency in the use of PCs and MS Office suite

Excellent in communication skills.

Good understanding of pre-authorization process and payer adjudication guidelines related to DHA or HAAD