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ip medical coder

NMC Health plc

<div>Ensures proper coding of documents in accordance with the regulator&rsquo; coding guidelines and regulations.</div>
 <div><ul><li>Checks and sequences the most accurate ICD-9/ICD-10-CM/CPT/HCPCS/DRG/other codes for diagnoses and procedures based on documented information, ensuring final diagnoses and operative procedures stated by the physician are valid and complete.
</li><li>Abstracts necessary information from health records to identify secondary complications and co-morbid conditions.
</li><li>Evaluates records for documentation consistency and adequacy; ensures the final diagnosis reflects the care provided; computes and assigns the correct DRG for all inpatient cases.
</li><li>Provides training and guidance to other coders/medical records technicians, including updates on new coding rules and regulations.
</li><li>Analyzes physicians&rsquo; documentation to ensure appropriate E&amp;M levels and correct CPT codes are assigned.
</li><li>Ensures coding compliance with HAAD guidelines and regulations.
</li><li>Provides feedback to doctors regarding coding errors or oversights.
</li><li>Keeps updated with the latest coding versions and HAAD coding directives.
</li><li>Performs miscellaneous job-related duties as assigned.
</li><li>Performs any other tasks assigned by the HOD within the scope of the job title.
</li><li>Complies with all OSH and infection control policies, standards, and procedures; cooperates with hospital management to meet compliance requirements.
</li><li>Works in accordance with documented OSH procedures and instructions.
</li><li>Is familiar with emergency and evacuation procedures.
</li><li>Reports OSH hazards, incidents, near misses, and assists with risk assessments and incident reports.
</li><li>Complies with waste-management procedures and policies.
</li><li>Attends applicable OSH/Infection Control training programs, mock drills, and awareness programs.
</li><li>Uses appropriate personal protective equipment (PPE) and safety systems as required.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Allied Health Sciences or a related field, with at least two (2) years of coding experience.
</li><li>Valid Certified Coding Associate (CCA) certification from AHIMA or Certified Professional Coder (CPC) certification from AAPC.
</li><li>Computer literacy, including proficiency in MS Office.
</li><li>Excellent command of oral and written English.
</li><li>Performance Criteria:
<ul><li>Achievement of core objectives in alignment with management and stakeholder expectations.
</li><li>Ability to work constructively and interact professionally with colleagues and other stakeholders.
</li><li>Ability to coordinate multiple tasks, adapt to changing priorities, and meet deadlines.</li></ul></li></ul></div>

IP Medical Coder

alsafwa medical center

Job summary:We are seeking an experienced Medical Coder to join our healthcare team . The ideal candidate will have a strong background in medical coding, with specific expertise in handling preapprovals, invoicing, submissions, and resubmissions. The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies, and optimizing the revenue cycle management process.Key Responsibilities:<ul><li>Medical Coding:</li><li>Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes</li><li>Ensure that all coding meets regulatory and insurance requirements</li><li>Preapprovals:</li><li>Handle the submission and follow-up of preapproval requests for medical procedures and treatments with insurance companies</li><li>Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals</li><li>Invoicing:</li><li>Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information</li><li>Collaborate with the finance department to ensure timely and accurate billing</li><li>Submissions and Resubmissions:</li><li>Submit medical claims to insurance companies and follow up on the status of submitted claims</li><li>Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment</li><li>Communicate with insurance companies to resolve any discrepancies or issues related to claims</li><li>Compliance:</li><li>Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations</li><li>Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements</li><li>Documentation:</li><li>Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities</li><li>Generate reports on coding and billing activities for internal review and analysis</li></ul>Understand, follow and support all hospital infection control programs.RequirementsQualifications:<ul><li>Education:</li><li>Diploma or degree in Medical Coding, Health Information Management, or a related field</li><li>Certification:</li><li>Certified Professional Coder (CPC) or equivalent certification is required</li><li>Experience:</li><li>Minimum of 2 years of experience in medical coding, with specific experience in 1) preapprovals, 2) invoicing, 3) submissions, and 4) resubmissions</li><li>Knowledge:</li><li>In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with UAE healthcare regulations and insurance processes is preferred. DHA issued policies</li><li>Skills:</li><li>Strong attention to detail and accuracy</li><li>Excellent communication and interpersonal skills</li><li>Proficiency in using medical coding software and electronic health records (EHR) systems</li><li>Ability to work independently and manage multiple tasks efficiently</li></ul>Job Types: Full-time, ContractPay: AED2,500.00 - AED4,000.00 per monthExperience:<ul><li>Medical coding: 1 year (Required)</li></ul>

Dental Coder

ANONYMOUSLY

We are currently looking for a dental coder to join our team.Job description:&middot; Ability to work with problem claims &amp; denials experience.&middot; Knowledgeable in CPT codes and diagnosis codes in all dental specialties.&middot; Obtaining approvals for dental procedures (General &amp; Specialist)&middot; Ensure completeness of patient files in accordance with JAWDA and DOH requirements.&middot; Knowledge in RCM (Revenue Cycle Management)&middot; Assisting with invoicing for insurance processing and billing.&middot; Communicate and follow up with insurance companies regarding eligibility, payments, approvals, reconciliation, and other requirements.&middot; Maintain and update records related to pre-approvals and reconciliation.&middot; Preparing weekly, monthly, quarterly, and yearly report, and documentation.&middot; Work cooperatively with other Clinic &amp; Admin staff in a positive team approach.&middot; Creating &amp; Generating Weekly Reports based on Doctors Productivity.Benefits:&middot; As per UAE Labor Law&middot; Medical Insurance&middot; Healthy Working Environment&middot; Company and career stabilityJob Type: Full-timePay: AED3,500.00 - AED6,000.00 per month

Gulf International Medical Services

We are a licensed homecare organization dedicated to delivering high-quality, patient-centered healthcare services across Abu Dhabi. We are seeking an experienced Medical Coder &amp; Biller to handle coding, billing, and insurance preauthorization's for our homecare services.Medical Coding<ul><li>Review and verify patient documentation, clinical notes, and assessments submitted by nurses and therapists.</li><li>Assign accurate ICD-10, CPT, and HCPCS codes as per DOH and insurance guidelines.</li><li>Ensure coding compliance and maintain accuracy in claim documentation.</li><li>Coordinate with clinical staff to clarify incomplete or missing documentation.</li></ul>Medical Billing<ul><li>Prepare, submit, and track insurance claims for homecare services.</li><li>Handle billing entries, reconciliation, and follow-ups on pending or rejected claims.</li><li>Coordinate with insurance companies to resolve denials, discrepancies, or claim issues.</li><li>Maintain accurate billing records and ensure timely reimbursement.</li></ul>Insurance Preauthorization &amp; Approvals<ul><li>Apply for preauthorization requests for homecare services as per DOH and payer requirements.</li><li>Follow up closely with insurance providers for approval status.</li><li>Maintain updated knowledge of all payer policies and authorization criteria.</li><li>Ensure all approvals are received before initiating services.</li><li>Communicate approvals and validity periods to the scheduling and clinical teams.</li></ul>Job Types: Full-time, PermanentPay: AED3,000.00 - AED4,000.00 per monthApplication Question(s):<ul><li>Do you have any experience working in a homecare Medical facility or Hospital in UAE?</li><li>If not in UAE do you have any experience working in a homecare Medical facility or Hospital in home country?</li><li>Do you have experience in billing?</li><li>Salary is between AED 3000 to 4000 doyou agree?</li></ul>

Medical Coder

<div>1.1 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.
1.2 Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
1.3 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.
1.4 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. 
 
1.5 Analyzes doctors&rsquo; documentation to assure the appropriate Evaluation &amp;
 
Management (E &amp; M) levels are assigned using the correct CPT code.
1.6 Ensures coding is as per DOH guidelines and regulations.
1.7 Provides feedback to Doctors regarding coding errors or oversights.
1.8 Constantly updates to the latest coding versions and DOH coding directives.</div>
 <div><ul><li>Check and assign accurate ICD-9/ICD-10-CM, CPT, HCPCS, DRG, and other relevant codes for diagnoses and procedures based on documented information, ensuring final diagnoses and operative procedures are valid and complete.
</li><li>Abstract essential information from health records to identify secondary complications and co-morbid conditions.
</li><li>Evaluate medical records for documentation accuracy, consistency, and adequacy, ensuring the final diagnosis reflects the treatment provided; compute and assign correct DRG codes for all inpatient cases.
</li><li>Provide training, guidance, and support to coders and Medical Records Technicians, including updates on new coding rules and regulations.
</li><li>Analyze physicians&rsquo; documentation to ensure appropriate Evaluation &amp; Management (E&amp;M) levels are assigned using the correct CPT codes.
</li><li>Ensure all coding practices adhere to DOH guidelines and regulatory standards.
</li><li>Provide feedback to physicians regarding coding errors, discrepancies, or areas for improvement.
</li><li>Stay updated on the latest coding versions, DOH directives, and industry coding updates.</li></ul></div>
 <div>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).
Preferably one year experience of coding medical claims.</div>

OP Medical Coder

<div>2.1 Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details of the Pre Authorization Requests are in line with the regulators&rsquo; standards especially the claim adjudication Rules and Business Rules.
 
2.2 Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval.
 
2.3 Prepares reports of daily activity as requested for management and assists management in month end reporting as requested.</div>
 <div><ul><li>Evaluate pre-approval requests for medical necessity based on the provided medical data and accurately code the service description according to accepted medical coding rules, medical guidelines, and policy schedule of benefits.
</li><li>Respond to Insurance/TPA queries and coordinate with the concerned departments without delay.
</li><li>Receive, evaluate, and escalate second-opinion cases and case management as required.
</li><li>Perform night shift duties and work on public holidays as per the duty roster.
</li><li>Prepare daily activity reports as requested by management and assist in monthly reports when needed.
</li><li>Handle the auditing process, arrange required documents, and coordinate with coders to support external auditors.
</li><li>Attend meetings and presentations.
</li><li>Train Front Office, Receptionists, and Nurses, ensuring they remain updated on insurance details.
</li><li>Prepare cost estimates for procedures for cash patients.
</li><li>Adjust duties in cases of sudden or emergency unplanned leaves by colleagues.
</li><li>Manage and hand over any pending cases to the next shift colleagues.
</li><li>Perform any other tasks assigned by the HOD within the scope of the job title.
</li><li>Comply with all OSH and infection control policies, standards, and procedures, and cooperate with hospital management to meet these requirements.
</li><li>Work in accordance with documented OSH procedures, instructions, and specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Report OSH hazards, incidents, near misses, and issues, and assist with risk assessments and incident reports.
</li><li>Comply with waste management procedures and policies.
</li><li>Attend applicable OSH/Infection Control training programs, mock drills, and awareness programs.
</li><li>Use appropriate personal protective equipment and safety systems.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Medicine (MBBS) from a recognized university.
</li><li>Minimum 2 years of experience in insurance claims management/adjudication.
</li><li>Experience in medical coding including ICD, CPT, DRG, and HCPCS.
</li><li>Excellent command of oral and written English.
</li><li>Flexible and able to work under pressure.
</li><li>Excellent knowledge of Microsoft applications.</li></ul></div>

Submission & Resubmission Officer

NeST Digital

<div><div>Minimum Required Experience : 6 years
Full Time
</div><div><div>Skills<div><div><div><div>
Bare Metal Programming</div></div><div><div>
Linux</div></div><div><div>
Communications Protocols</div></div><div><div>
Embedded C++</div></div><div><div>
RTOS</div></div></div></div></div></div><div>
Description<div>
Job Description &ndash; Senior Software Engineer
Experience Range
6 - 8 YOE
Location Requirement
Bangalore &ndash; PSN, Whitefield
Mode
Hybrid (3 days a week)
Responsibilities
<ul><li>Provide technology contributions in
<ul><li>Working in an agile development environment, Scrum, Iterative, V-mode</li>
<li>Translating business requirements into low-level application design</li>
<li>Application code development through a collaborative approach</li>
<li>Doing Full-scale unit testing</li>
<li>Embedded SW Design, development, test &amp; integration, debugging techniques.</li>
<li>Object oriented analysis and design, Design Patterns</li>
</ul></li></ul>Soft Skills
<ul><li>Should be able to contribute as an individual contributor</li>
<li>Should be able to execute his/her responsibility independently</li>
<li>Excellent problem-solving skills and attention to detail.</li>
<li>Focus on self-planning activities</li>
<li>Firm with communication skills</li>
<li>Organize and present technical status to Technical Leader.</li>
</ul>
Mandatory Skills
<ul><li>C++[OOPS]</li>
<li>Good understanding of OS: Linux, RTOS</li>
<li>Experience on IDE : Tornado, Visual Studio</li>
<li>Good understanding of Networking Protocols: TCP/IP Layer, Client Server Architectures</li>
<li>Exposure to IPC, I2C, UART, USB, Ethernet, SPI, , Wireless Technologies (BLE)</li>
<li>Good understanding of stacks, memory mngt, heaps, multithreading, memory profiling tools like Coverity, Valgrind</li>
<li>Good Experience in Bare metal programming &amp; debugging techniques.</li>
<li>Experience on Gerrit/Git/Jenkins/GitBucket and CI build process</li>
</ul>
Nice-to-have Skills
<ul><li>Exposure to Medical Standards &amp; Protocols: EMR, HL7, FHIR, MLLP, IoT device-cloud connectivity protocols such as MQTT, COAP, WebSockets.</li>
<li>Experience in Healthcare domain is a plus</li>
<li>C language programming skills</li>
<li>Good in Scripting Languages: Python, Makefiles, CMake</li></ul></div></div></div>

Lead Engineer-API/Cloud/DevSecOps Engineer

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IP Medical Coder

Dental Coder

Dental Coder

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OP Medical Coder

Submission & Resubmission Officer

Lead Engineer-API/Cloud/DevSecOps Engineer