Medical Coder Insurance Coordinator

2 months ago


Dubai, United Arab Emirates Zia Medical Center Full time

Job Summary:
As a Medical Coder Insurance Coordinator, you will be responsible for assigning appropriate medical codes to procedures and diagnoses, ensuring compliance with coding guidelines and regulations. Additionally, you will manage insurance claims, verify patient insurance coverage, and handle billing processes to facilitate timely and accurate reimbursement.

**Responsibilities**:
Medical Coding:

- Assign appropriate ICD-10, CPT, and HCPCS codes to medical procedures and diagnoses based on medical records, physician documentation, and coding guidelines.
- Review and analyze patient medical records to ensure accurate coding and adherence to regulatory requirements.
- Stay updated with the latest coding guidelines, regulations, and industry changes to ensure compliance.

Insurance Coordination:

- Verify patient insurance coverage and eligibility, including pre-authorization requirements for medical procedures and treatments.
- Communicate with insurance companies to resolve coverage-related issues, obtain necessary authorizations, and ensure smooth claim processing.
- Collaborate with healthcare providers, patients, and insurance companies to address billing and reimbursement inquiries or disputes.

Billing and Claims Management:

- Prepare and submit insurance claims accurately and promptly to ensure timely reimbursement.
- Monitor and track the status of insurance claims, follow up on outstanding claims, and address any denials or rejections.
- Identify and rectify billing errors or discrepancies, working closely with the billing team to resolve issues.

Compliance and Documentation:

- Ensure adherence to coding and billing regulations, including HIPAA and other relevant guidelines.
- Maintain accurate and detailed records of coding, insurance claims, and billing activities.
- Collaborate with healthcare providers and administrative staff to streamline processes and improve documentation accuracy.

Training and Education:

- Provide guidance and training to healthcare providers and staff on coding, documentation, and insurance-related processes.
- Stay updated with industry trends, attend seminars or workshops, and participate in continuing education programs to enhance professional knowledge and skills.

**Requirements**:

- High school diploma or equivalent (some employers may prefer a degree or certification in medical coding).
- Certified Professional Coder (CPC) certification or other relevant coding certifications (e.g., CCS, CCS-P) is preferred.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with insurance terminology, billing procedures, and claim submission processes.
- Proficient in using electronic health record (EHR) systems and coding software.
- Excellent attention to detail, analytical skills, and ability to work with complex medical documentation.
- Strong communication and interpersonal skills to interact with healthcare providers, insurance companies, and patients effectively.
- Knowledge of medical terminology, anatomy, and physiology.

**Salary**: AED6,000.00 - AED7,000.00 per month

**Experience**:

- Medical Coding: 2 years (required)

License/Certification:

- Medical Coding Certificate (required)



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