medical coding specialist

Healthrix

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM Specialist

Abir Solutions, LLC

Medical Billing Specialist- No work from Home availableNo transportation availableWork at night only Job Summary:Raj Consultancy is seeking a Medical Biller with a strong background in medical billing and coding. This position will be responsible for the collection of past due medical bills from patients and processing payments. The position will also be responsible for collecting and processing payments for services rendered. The position will report to the billing manager.Essential Duties and Responsibilities:<ul><li>Collect past due medical bills from patients.</li><li>Process payments (cash, check, credit cards) for patients.</li><li>Maintain patient files.</li><li>Answer patient calls and direct them to the correct billing department.</li><li>Answer patient billing questions regarding their account.</li><li>Review past due medical bills and prepare payment plans for patients who do not pay their billings in a timely manner.</li><li>Ensure that all billing procedures are followed and follow all established procedures to ensure that our process is efficient and accurate.</li><li>Perform other duties as assigned by the Manager of Accounting or Executive Director of Operations.</li></ul>Required Skills: &middot;Excellent written and verbal communication skills, including the ability to clearly articulate thoughts and ideas to others in written, verbal, or diagram form. &middot;Strong organizational skills with a proven ability to meet deadlines in a fast-paced environment. &middot;Excellent time management skills with the ability to plan ahead for future needs and prioritize tasks based on urgency. &middot;A strong work ethic with an ability to work independently or as part of a team, as required or appropriate, depending on the needs of the department, department head, or client. &middot;A strong understanding of medical billing procedures and practices, including CPT/ICD/VHEI coding, insurance verification, collection practices, data entry procedures, computer knowledge, and proficiency in using an electronic medical record system (e.g., Aetna CareCloud). Knowledge of other medical terminology is helpful but not required for this position.OFFICE TIMING: 5:30pm to 3:00am / 6.30pm to 4amJob Type: Full-timePay: &#8377;25,000.00 - &#8377;50,000.00 per monthBenefits:<ul><li>Paid time off</li></ul>Experience:<ul><li>ICD-10: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Specialist

NMC Health plc

<div><ul><li>Auditing records to ensure proper submission of services prior to billing on pre-determined selected charges.
</li><li>Receiving hospital information to properly bill provider services for hospital patients.
</li><li>Supplying correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided.
</li><li>Supplies correct HCPCS code on all procedures and services performed.
 </li><li>Provide correct CPT code on all procedures and services performed.
</li><li>Contacts Medical staff to train and update them with correct coding information.
</li><li>Attending seminars and in-services as required to be updated on coding issues.
</li><li>Auditing medical records to ensure proper coding completed and to ensure compliance with Haad Regulation and Rules.
</li><li>Following coding guidelines and legal requirements to ensure compliance Haad regulation and rules.
</li><li>Assign proper ICD9, CPT, DRG codes for medical service that required pre-Authorization.
</li><li>Help in the coding process for the rejected claims.
</li><li>Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
</li><li>Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
</li><li>Analyzes provider documentation to assure the appropriate Evaluation &amp; Management (E&amp;M) levels are assigned using the correct CPT code
</li><li>Performs other related duties, which may be inclusive, but not listed in the job description
</li><li>Code the most accuracy level of diagnosis like external cause, place of occurrence and activity code.
</li><li>Attending OSH programs of BIH as a mandatory requirement.
</li><li>Complies with all OSH policies, procedures &amp; legal requirements regarding OSHMS.
</li><li>Conducts his/ her task in a healthy and safe manner at all times.
</li><li>Report any untoward events that will impact the occupational, safety and health of patients, contractors, facilities, operations and etc.</li></ul></div>
 <div><ul><li>Auditing records to ensure proper submission of services prior to billing on pre-determined selected charges.
</li><li>Receiving hospital information to properly bill provider services for hospital patients.
</li><li>Supplying correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided.
</li><li>Supplies correct HCPCS code on all procedures and services performed.
 </li><li>Provide correct CPT code on all procedures and services performed.
</li><li>Contacts Medical staff to train and update them with correct coding information.
</li><li>Attending seminars and in-services as required to be updated on coding issues.
</li><li>Auditing medical records to ensure proper coding completed and to ensure compliance with Haad Regulation and Rules.
</li><li>Following coding guidelines and legal requirements to ensure compliance Haad regulation and rules.
</li><li>Assign proper ICD9, CPT, DRG codes for medical service that required pre-Authorization.
</li><li>Help in the coding process for the rejected claims.
</li><li>Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
</li><li>Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
</li><li>Analyzes provider documentation to assure the appropriate Evaluation &amp; Management (E&amp;M) levels are assigned using the correct CPT code
</li><li>Performs other related duties, which may be inclusive, but not listed in the job description
</li><li>Code the most accuracy level of diagnosis like external cause, place of occurrence and activity code.
</li><li>Attending OSH programs of BIH as a mandatory requirement.
</li><li>Complies with all OSH policies, procedures &amp; legal requirements regarding OSHMS.
</li><li>Conducts his/ her task in a healthy and safe manner at all times.
</li><li>Report any untoward events that will impact the occupational, safety and health of patients, contractors, facilities, operations and etc.</li></ul></div>
 <div><ul><li>High School Diploma/ Bachelor&rsquo;s degree
</li><li>Medical Coding Certificate by AAPC OR AHIMA
</li><li>Two years&rsquo; experience using ICD-9-CM, CPT, HCPCs or equivalency.</li></ul></div>

Medical Coder

ZIA Medical Center

We are seeking a detail-oriented and experienced Medical Coder to join our team. The role involves accurate medical coding, managing insurance approvals, and overseeing Revenue Cycle Management (RCM) processes to ensure timely reimbursements and compliance with healthcare regulations.Key ResponsibilitiesMedical Coding &amp; Documentation:<ul><li>Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services.</li><li>Review medical records and clinical documentation for completeness and accuracy.</li><li>Ensure coding compliance with DHA, HAAD, MOH, and international guidelines.</li></ul>Insurance Approvals &amp; Claims Management:<ul><li>Submit and track prior authorization requests with insurance providers.</li><li>Verify patient insurance coverage and eligibility for treatments and procedures.</li><li>Resolve coding or documentation discrepancies that may delay claim approval.</li></ul>Revenue Cycle Management (RCM):<ul><li>Prepare and submit insurance claims in a timely manner.</li><li>Monitor claim rejections/denials and work on resubmissions or appeals.</li><li>Coordinate with the billing team to ensure accurate invoicing and reimbursements.</li></ul>Compliance &amp; Quality Assurance:<ul><li>Maintain up-to-date knowledge of insurance policies, coding guidelines, and regulatory requirements.</li><li>Protect patient confidentiality in compliance with healthcare laws and clinic policies.</li><li>Participate in audits and implement corrective actions when needed.</li></ul>Collaboration &amp; Support:<ul><li>Work closely with doctors, nurses, and administrative staff to clarify documentation.</li><li>Assist the finance and billing teams in resolving outstanding claim issues.</li><li>Provide training or guidance to staff on proper documentation for coding purposes.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree or Diploma in Medical Coding, Health Information Management, or a related field.</li><li>Valid Medical Coding Certification (CPC, CCS, or equivalent) is preferred.</li><li>Minimum 2&ndash;3 years of experience in medical coding and insurance approvals within a healthcare setting.</li><li>Strong knowledge of ICD-10, CPT, and HCPCS coding systems.</li><li>Familiarity with UAE healthcare regulations and insurance processes (DHA/HAAD/MOH).</li><li>Excellent attention to detail, analytical skills, and problem-solving ability.</li><li>Proficiency in medical software and electronic health records (EHR) systems.</li><li>Strong communication skills and ability to work collaboratively in a fast-paced environment.</li></ul>Job Type: Full-timePay: AED4,000.00 - AED7,000.00 per monthExperience:<ul><li>UAE: 2 years (Required)</li></ul>License/Certification:<ul><li>Medical Coder Certificate (Required)</li></ul>

Optum

<div>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 
Primary Responsibilities:<ul><li>
Roles and Responsibilities post training:<ul><li>
Coding the medical record using the ICD-10 and PCS with desired accuracy as per SLA</li><li>
Know and adhere to HIPAA regulations</li><li>
Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisor</li><li>
Meet quality and productivity standards and deadlines/turnaround times</li><li>
Reports a discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations</li><li>
For inpatient encounters, applies coding conventions and official coding guidelines approved by the American Hospital Association (AHA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets</li><li>
Maintains the minimum data standards for accuracy and productivity as per defined KRAs/ Client SLAs</li></ul></li><li>
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so</li></ul> 
Required Qualifications:<ul><li>
Education Background:<ul><li>
Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)</li></ul></li><li>
Certification:</li><li>
Certified coder - AAPC or AHIMA - CCS or CPC or CPC-H or CCS-P</li><li>
Experience:<ul><li>
1+ years of experience in Acute Surgery or ED coding</li></ul></li><li>
Proficient in Human Anatomy, Medical Terminology and Diagnosis coding</li><li>
Proven good in English communication</li><li>
Proven high analytical skills</li><li>
Proven willingness and eager to learn and grow</li></ul> 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</div>

Medical Coding Analyst

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>

<div>JOB SUMMARY
Ensures proper coding of documents in accordance with the regulator&rsquo; coding guidelines and regulations.</div>
 <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><li>Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
</li><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><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><li>Analyzes doctors&rsquo; documentation to assure the appropriate Evaluation &amp; Management (E &amp; M) levels are assigned using the correct CPT code.
</li><li>Ensures coding is as per HAAD guidelines and regulations.
</li><li>Provides feedback to Doctors regarding coding errors or oversights.
</li><li>Constantly updates to the latest coding versions and HAAD coding directives.
</li><li>Performs miscellaneous job-related duties as assigned.
</li><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
</li><li>Adhere to information systems policies and procedures as required by Health Care Organization.
</li><li>Follow security and privacy policies and procedures to the use of networks, including intranet and Internet.
</li><li>Follow confidentiality and security measures to protect electronic health information.
</li><li>Maintain data integrity and validity within an information system.
</li><li>Report any possible breaches of confidentiality in accordance with organizational policies.
</li><li>Apply departmental and organizational data and information system security policies
</li><li>Use basic word processing, spreadsheet and desktop presentation applications as applicable to your work.
</li><li>Demonstrate proficiency in Windows operating environment.
</li><li>Demonstrate use of email, addressing, forwarding, attachments, netiquette.</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).
Computer Literacy, MS Office.
Excellent command of oral and written English.
Performance Criteria:
<ul><li>Achievement of Core objectives in line with the expectations of the Management and stakeholders
</li></ul><ul><li>Ability to work constructively and interact professionally with others
</li></ul><ul><li>Ability to coordinate multiple task, adjust to changing priorities and work within deadlines.
</li></ul><ul><li>Ability to attend to meetings outside of normal business hours</li></ul></div>

OP Medical Coder

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