Medical Coder Receptionist
3 weeks ago
- Handle information about patienttreatment diagnosis and related procedures to ensure propercoding.
- Reading and analyzing patientrecords.
- Would be flexible working atReceptionist on managing the insurance and claims aswell
- Interacting with physicians and assistantsto ensure accuracy.
- Score medical condition andservices for new and establishedpatients.
- Follow up with insurance companyregarding required reports orinformation.
- Determining the correct codes forpatient records
- Prepare all reports anddocuments required by insurance company to grant preapproval as(collection and arrange the reports face to face consent formlicense of nurses physiotherapy & Doctor nursing care planphysiotherapy plan and assessment Scoringgrid)
- Entering and coding patient services intoa Daman Insurance system and generating approval letter forprovided services.
- Submit claims to insuranceand follow up to see if a claim is accepted ordenied.
- Handles insurance claims and followuprejected claims.
- Reviewing and appealing deniedand unpaid claims.
- Process payments frominsurance companies.
- Working directly with theinsurance company the patient and the medical staff to get a claimprocessed and ultimately paid.
- Providesinformation to patients and health care team by answering questionsand requests.
- Filing and proper documentationof patients file
- Keeping track of patient dataover multiple visits.
- Keeping track of patientshospital admission ER visits anddischarges
- Maintains documentation of patientcare services by auditing patient and departmentrecords.
- Arrange patients files andrecords.
- Internal audit of PMSs home healthcaredocumentations.
- Prepare and submit JAWDA KPIreport.
- Collect and save all KPIreports.
- Maintaining patient confidentialityand information security
- Perform Coding Audit(Tasneef) and prepare all documents required forit.
- Ensuring compliance with DOH and TASNEEFquality standards
- Ensuring compliance withDAMAN requirements and standards
- Participatesin policy making and decision making in relation to PMSs RehabCenter billing and codingpractices
Qualifications:
Bachelors degree inrelated field preferred
Bachelors degree inmedical related (Nursing Physician Physiotherapy)
AdditionalInformation :
MandatoryCertification from CPC or CCS by AHIMA
2 yearsexperience as a medical coder
Advancedunderstanding of medical terminology and administrationprocesses.
RemoteWork :
No
EmploymentType :
Fulltime
Key SkillsCollection AndRecovery,Banking,ABAP,Insulation,Investment Management,ClientServices
Experience: years
Vacancy: 1
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