insurance coder

Quironsalud

Primary Responsibilities:<ul><li>Review inpatient medical records to accurately assign diagnosis-related groups (DRGs) and procedure codes based on ICD-10-CM, ICD-10-PCS, and CPT coding guidelines.</li><li>Analyze the healthcare revenue cycle from patient registration to final payment, identifying inefficiencies and opportunities for improvement.</li><li>Monitor claims processing, payment posting, denials management, and accounts receivable.</li><li>Investigate reasons for claim denials or delays and recommend corrective actions to reduce denials and accelerate cash flow.</li><li>Collaborate with coding, billing, and clinical teams to ensure accurate and compliant charge capture.</li><li>Generate and analyze reports on key performance indicators (KPIs) like days in accounts receivable, denial rates, and collection rates.</li><li>Support implementation of new technologies or process improvements to optimize revenue cycle performance.</li><li>Assist in training staff on best practices related to coding, billing, and revenue cycle processes.</li><li>Ensure compliance with regulatory requirements impacting revenue cycle operations.</li><li>Analyze clinical documentation to ensure completeness, accuracy, and compliance with coding standards and regulations.</li><li>Ensure proper coding for inpatient stays to optimize reimbursement and reduce claim denials.</li><li>Collaborate with physicians, clinical staff, and billing departments to clarify documentation discrepancies and improve coding accuracy.</li><li>Stay updated with changes in coding regulations, payer guidelines, and compliance requirements.</li><li>Conduct regular audits and quality checks to ensure coding accuracy and consistency.</li><li>Assist in data reporting and provide insights on coding trends or patterns impacting revenue.</li><li>Maintain knowledge of hospital billing and reimbursement processes related to DRG payments.</li></ul>Job Requirements:<ul><li>Bachelor in Life Sciences</li><li>Most relevant coding certification with updated membership to a body as accepted by the geographical governance area (AAPC or AHIMA).</li><li>Relevant experience of at least 1 year in medical coding.</li><li>Should at least have basic knowledge of Evaluation and Management services. Prior hands on experience would be an added advantage.</li><li>Experience in UAE coding will be an added advantage.</li></ul>Job Type: Full-time

Insurance DRG Coder & RCM Analyst

The Pearl International Hospital

Medical CoderThe 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&rsquo;s payer and MoPH requirements.Key Responsibilities<ul><li>Review clinical documentation for consultations, procedures, and surgeries to assign accurate CPT codes and corresponding ICD-10-AM codes.</li><li>Validate that all CPT codes accurately reflect the services rendered, including modifiers and multiple procedure rules.</li><li>Collaborate with physicians to ensure documentation supports the CPT codes used for billing.</li><li>Review, audit, and correct codes prior to claim submission to avoid denials or underpayment.</li><li>Reconcile discrepancies between clinical, billing, and coding data to maintain accuracy.</li><li>Stay up to date on CPT updates, NCCI edits, and payer-specific coding policies.</li><li>Support the billing and insurance teams in claim review and appeals by providing coding justifications.</li><li>Prepare monthly coding quality reports and identify trends in documentation or claim rejections.</li></ul>Minimum Requirements<ul><li>Bachelor&rsquo;s degree or diploma in Health Information Management, Medical Records, or related field.</li><li>Valid medical coding certification (CPC, CCS, or equivalent).</li><li>Minimum 3 years of coding experience</li><li>Advanced proficiency in CPT coding for medical, surgical, and diagnostic procedures.</li><li>Working knowledge of ICD-10-AM and insurance claim requirements in Qatar.</li><li>Familiarity with payer systems such as AlKoot, QLM, GlobeMed, etc.</li><li>Strong communication and documentation review skills.</li><li>Ability to meet deadlines with a high level of accuracy and attention to detail.</li><li>Ability to provide physician feedback on documentation improvement.</li><li>Working knowledge of claim resubmission and coding audits.</li></ul>Job Type: Full-time

Medical Coder

THE KIDNEY CENTRE

The Kidney Centre is a centrally located specialty hospital, offering a collegial workplace experience with balanced work hours and competitive compensation packages. We invite applications from interested and suitably qualified candidates to fill the following position:Position Overview:We are currently seeking a detail-oriented and experienced Medical Coder to join our healthcare team. The ideal candidate will be responsible for reviewing clinical documentation and assigning accurate medical codes for diagnoses, procedures, and services, ensuring compliance with all regulations and optimizing reimbursements.Key Responsibilities:<ul><li>Review and analyze patient medical records and documentation</li><li>Assign appropriate ICD-10, CPT, and HCPCS codes based on medical documentation</li><li>Ensure coding accuracy and compliance with federal regulations and insurance requirements</li><li>Collaborate with physicians, billing staff, and other healthcare providers to clarify diagnoses or obtain additional information</li><li>Assist in audits and provide coding education when needed</li><li>Maintain confidentiality of patient records and adhere to HIPAA regulations</li></ul>Qualifications:<ul><li>Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required</li><li>Minimum [1-2] years of medical coding experience (preferred)</li><li>Strong knowledge of anatomy, physiology, and medical terminology</li><li>Experience with electronic medical records (EMR) and coding software</li><li>High attention to detail and accuracy</li><li>Excellent communication and organizational skills</li></ul>Interested candidates can apply at careers@kidneycentre.comPlease mention the position applied for in the subject line, or you can submit it to the Human Resources Department. For inquiry Tel # 0213-5661000, Ext#271.Job Types: Full-time, ContractWork Location: In person

Gargash Hospital

Medical Coder Job Location : Dubai, UAE Key Responsibilities : Accurately code medical diagnoses, treatments, and procedures using ICD-10, CPT, and HCPCS coding systems. Review patient medical records and ensure proper assignment of codes for billing and reimbursement purposes. Collaborate with medical staff to ensure accurate documentation and code assignment. Handle coding for various departments including outpatient, inpatient, emergency, and specialty care. Submit and follow up on insurance claims, ensuring proper reimbursement for services rendered. Ensure compliance with insurance and hospital policies, as well as all applicable regulations and standards. Participate in audits and assist with any coding-related inquiries. Stay updated on coding and billing regulations, policies, and changes in healthcare law. Qualifications : Must have a certification in medical coding (e.g., CPC, CCA, CCS). Minimum 3-4 years of experience in medical coding within a hospital or clinical setting in Dubai. Extensive knowledge of ICD-10, CPT, HCPCS coding systems and DRG-based billing. Experience with healthcare insurance claims, billing processes, and reimbursement regulations. Attention to detail with a strong focus on accuracy and compliance. Ability to work both independently and in a team-oriented environment. Strong communication skills and the ability to collaborate effectively with healthcare professionals. Experience with medical coding software and hospital information systems.

NMC Health plc

<div>Ensures proper coding of claims in reference to the documentation present which is to be in compliance with the regulator&rsquo;s coding guidelines.</div>
 <div>Reviews information as documented by Physician in medical record and Ensures coding is as per DHA guidelines and regulations.
<div><ul><li>Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
</li></ul><ul><li>Consults Physicians for further clarification and understanding of patient charts to avoid any misinterpretations.
 </li></ul><ul><li>Ensures that codes (CPT) tally with Physician&rsquo;s&rsquo; diagnosis (ICD) &ndash; checks for documentation of medical necessity.
</li></ul><ul><li>Provides feedback to Doctors regarding coding errors or oversig hts.
</li></ul><ul><li>Circulate coding related information/Issues encountered in billing to identify trends and have them resolved.
 </li></ul><ul><li>Provide accurate answers to queries on coding from any concerned teams
</li></ul><ul><li>Evaluate and assist in resubmission of claims in reference to coding related denials.
</li></ul></div>Performs other Duties as assigned by HOD.</div>
 <div><ul><li>A graduate with Bachelor&rsquo;s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
</li><li>Fluent spoken and written English. Spoken Arabic is advantageous but not essential.
</li><li>Sound Knowledge in MS Office.</li></ul></div>

Lotus Holistic Medical Center

We are looking for a detail-oriented and experienced Medical Coder to assist our medical staff with malpractice-related documentation and coding. The candidate will ensure accurate and compliant medical coding, supporting internal processes and maintaining proper records for staff malpractice cases.Key Responsibilities:<ul><li>Review and analyze medical records related to staff malpractice documentation.</li><li>Assign appropriate ICD-10, CPT, and HCPCS codes to ensure compliance with legal and insurance requirements.</li><li>Verify accuracy of diagnosis and procedure codes related to malpractice incidents.</li><li>Maintain confidentiality of all staff and patient records.</li><li>Collaborate with the administration and legal departments to ensure timely and accurate submission of required documents.</li><li>Assist in audit preparation and provide clarification when needed.</li></ul>Qualifications:<ul><li>Diploma or Bachelor&rsquo;s degree in Medical Coding, Health Information Management, or a related field.</li><li>Strong knowledge of medical terminology, ICD-10, and CPT coding systems.</li><li>Attention to detail, accuracy, and ability to handle sensitive information.</li><li>Minimum 1&ndash;2 years of experience in medical coding (experience in malpractice documentation is a plus).</li></ul>Job Types: Full-time, Contract

Medical Coder – Malpractice Documentation (Staff Support)

<div>DUTIES AND RESPONSIBILITIES
3.1 The incumbent checks and sequences the most accurate ICD-9/ ICD10- CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
3.2 Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
3.3 Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Computes and gives the correct DRG coding all inpatients cases.
3.4 Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
3.5 Analyzes doctors&rsquo; documentation to assure the appropriate Evaluation &amp; Management (E &amp; M) levels are assigned using the correct CPT code.
3.6 Ensures coding is as per HAAD guidelines and regulations.
3.7 Provides feedback to Doctors regarding coding errors or oversights.
3.5 Constantly updates to the latest coding versions and HAAD coding directives.
3.6 Performs miscellaneous job-related duties as assigned.
3.7 Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
3.8 Adhere to information systems policies and procedures as required by Health Care Organization. 3.19 Follow security and privacy policies and procedures to the use of networks, including intranet and Internet.
3.9 Follow confidentiality and security measures to protect electronic health information.
3.10 Maintain data integrity and validity within an information system.
3.11 Report any possible breaches of confidentiality in accordance with organizational policies.
3.12 Apply departmental and organizational data and information system security policies
3.13 Use basic word processing, spreadsheet and desktop presentation applications as applicable to your work.
3.14 Demonstrate proficiency in Windows operating environment.
3.15 Demonstrate use of email, addressing, forwarding, attachments, netiquette.</div>
 <div>DUTIES AND RESPONSIBILITIES
<div><ul><li>The incumbent checks and sequences the most accurate ICD-9/ ICD10- CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
</li></ul><ul><li>Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
</li></ul><ul><li>Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Computes and gives the correct DRG coding all inpatients cases.
</li></ul><ul><li>Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
</li></ul><ul><li>Analyzes doctors&rsquo; documentation to assure the appropriate Evaluation &amp; Management (E &amp; M) levels are assigned using the correct CPT code.
</li></ul><ul><li>Ensures coding is as per HAAD guidelines and regulations.
</li></ul><ul><li>Provides feedback to Doctors regarding coding errors or oversights.
</li></ul><ul><li>Constantly updates to the latest coding versions and HAAD coding directives.
</li></ul><ul><li>Performs miscellaneous job-related duties as assigned.
</li></ul><ul><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
</li></ul><ul><li>Adhere to information systems policies and procedures as required by Health Care Organization.
</li></ul><ul><li>Follow security and privacy policies and procedures to the use of networks, including intranet and Internet.
</li></ul><ul><li>Follow confidentiality and security measures to protect electronic health information.
</li></ul><ul><li>Maintain data integrity and validity within an information system.
</li></ul><ul><li>Report any possible breaches of confidentiality in accordance with organizational policies.
</li></ul><ul><li>Apply departmental and organizational data and information system security policies
</li></ul><ul><li>Use basic word processing, spreadsheet and desktop presentation applications as applicable to your work.
</li></ul><ul><li>Demonstrate proficiency in Windows operating environment.
</li></ul><ul><li>Demonstrate use of email, addressing, forwarding, attachments, netiquette.</li></ul></div></div>
 <div>QUALIFICATION, LICENSURE, EDUCATION, EXPERIENCE, SPECIAL SKILLS :
4.1 A graduate of Bachelor&rsquo;s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
4.2 Computer Literacy, MS Office.
4.3 Excellent command of oral and written English.
4.4 Performance Criteria:
&bull; Achievement of Core objectives in line with the expectations of the Management and stakeholders
&bull; Ability to work constructively and interact professionally with others
&bull; Ability to coordinate multiple task, adjust to changing priorities and work within deadlines.
&bull; Ability to attend to meetings outside of normal business hours</div>

IP Medical Coder

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IP Medical Coder