Medical Coder Receptionist

3 weeks ago


Abu Dhabi, Abu Dhabi, United Arab Emirates Ghobash Group Full time
  • 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 Skills
Collection AndRecovery,Banking,ABAP,Insulation,Investment Management,ClientServices
Experience: years
Vacancy: 1

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