Insurance Drg Coder

3 weeks ago


Dubai, United Arab Emirates QMI Healthcare Full time

**Primary Responsibilities**:

- Must have appropriate DRG knowledge and experience
- The Coder must undertake a thorough review of applicable documentation to assess the documentation requirement and determine the appropriate ICD-10-CM and/or CPT-4/USCLS codes to be reported, in conjunction with the applicable version of Official Guidelines.
- Analyzing and auditing of claims for completeness with relation to medical information and insurance coverage for services rendered.
- Understand the individual client payer contracts so as be able to process claims in submission.
- Be able to process claims either in OP or IP scenario
- Analyze and communicate coding and billing issue of the provider to the supervisors.
- Have complete knowledge of Coding & billing guidelines of the provider and payer.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
- To assist with documentation review and raise queries on completeness of EMR
- Must also observe UAE code of ethics while assigning relevant code sets.
- Preapproval and Precertification for claims requiring approval.
- Making Cost estimates according to procedures
- Monitoring and follow up on prior authorization for outpatient/inpatient services
- Scanning of cases to identify lack of documentation by physician/ reports prior to submitting to payer
- Contacting the payers/TPA for approval related matters. Communicates adequately with external parties.
- Contacting the physician/nurses for further clarification to make the claim eligible for preapproval.
- Inform and influence others by clear, concise expression of ideas and information in verbal and written as appropriate
- Timely and meets deadlines.
- Reporting trends related to preapproval to reporting TL /Supervisor

**Job Requirements**:

- Bachelor in Life Sciences
- Most relevant coding certification with updated membership to a body as accepted by the geographical governance area (AAPC or AHIMA).
- Relevant experience of at least 1 year in medical coding.
- Should at least have basic knowledge of Evaluation and Management services. Prior hands on experience would be an added advantage.
- Experience in UAE coding will be an added advantage.


  • Insurance Drg Coder

    2 weeks ago


    Dubai, Dubai, United Arab Emirates QMI Healthcare Full time

    Primary Responsibilities: Must have appropriate DRG knowledge and experience The Coder must undertake a thorough review of applicable documentation to assess the documentation requirement and determine the appropriate ICD10CM and/or CPT4/USCLS codes to be reported, in conjunction with the applicable version of Official Guidelines. Analyzing and auditing of...

  • Ip Drg Coder

    2 months ago


    Dubai, United Arab Emirates ACCUMED Full time

    **Job Family Summary**: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with mínimal or no rejections. **Role...


  • Dubai, United Arab Emirates Nano Health Suite Full time

    **Medical Coder and Trainer - IR-DRG Compliance** Dubai, UAE **Overview**: The Medical Coder and Trainer specializing in IR-DRG Compliance will play a crucial role in overseeing and ensuring adherence to International Refined-DRG (IR-DRG) coding standards within healthcare facilities that align with Nabidh Health Information Exchange (HIE) guidelines...

  • Insurance Coordinator

    2 weeks ago


    Dubai, United Arab Emirates Expert Recruitments Full time

    Position : Insurance Coordinator with 3+ years of similar experience Salary AED 5000 - 6500 + Benefits Work Location : Jumeirah, Dubai - Certified medical coder - Experience in 3M + DRG + Daily approvals on eclaim - Experience in re-submission, submission, Recon and remittance. Pay: AED5,000.00 - AED6,500.00 per month **Experience**: - Insurance...

  • Medical Coder

    2 weeks ago


    Dubai Healthcare City, Dubai, United Arab Emirates Trust Vision Group of Healthcare Full time

    Medical Coder Responsibilities: Extracting relevant information from patient records. Liaising with physicians and other parties to clarify information. Examining documents for missing information. Assigning CPT, HCPCS, ICD10CM, and ASA codes. Assigning APC and DRG codes. Ensuring documents are grammatically correct and free from typing errors. Performing...

  • Ip Drg Coder

    4 weeks ago


    Dubai, United Arab Emirates ACCUMED Full time

    **Job Family Summary**: Medical Coding is the process where the _medical_ record and claim documentation are checked and medical diagnostics, treatments and procedures (_medical_ services) are converted to universal alphanumeric codes. This is one of the intermediate steps in processing claims. These codes form part of data collection which is used for...

  • Medical Coder

    4 weeks ago


    Dubai Healthcare City, United Arab Emirates Trust Vision Group of Healthcare Full time

    **Medical Coder Responsibilities**: - Extracting relevant information from patient records. - Liaising with physicians and other parties to clarify information. - Examining documents for missing information. - Assigning CPT, HCPCS, ICD-10-CM, and ASA codes. - Assigning APC and DRG codes. - Ensuring documents are grammatically correct and free from typing...


  • Dubai, United Arab Emirates UMED Full time

    **Medical Coding Auditor** 1. Bachelor degree from an accredited college / university 2. Minimum of two years of INPATIENT and IR-DRG coding experience in UAE 3. Minimum of two years demonstrated internal audit experience on inpatient and outpatient claims 4. AAPC/AHIMA certified coder 5. Conduct audits on claims as per applicable criteria/methodology...


  • 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...


  • Dubai, United Arab Emirates M.A.G Health Clinic Dubai Full time

    **Responsibilities**: - Accurately assign medical codes (ICD-10-CM and CPT/HCPCS) to patient encounters using electronic health records (EHR) and clinical documentation. - Submit complete and accurate insurance claims within established deadlines to maximize reimbursement and minimize claim denials. - Proactively identify and resolve potential claim...

  • Medical Coder

    2 weeks ago


    Dubai, Dubai, United Arab Emirates AIM Academy Full time

    A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for...


  • Dubai, United Arab Emirates MEDCOME HOME HELTH CARE CENTER Full time

    Female patient Cordinator and insurance coder **Job Types**: Full-time, Permanent Application Question(s): - are you interest in home health care ? **Experience**: - nursing: 1 year (preferred) License/Certification: - Eligibility letter or DHA (preferred)

  • Medical Coder

    2 months ago


    Dubai, United Arab Emirates AIM Academy Full time

    A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient’s medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for...


  • Dubai, United Arab Emirates Dynamic Logics Management Consultancy Full time

    A Skin Clinic based in Al Wasl Rd. Jumeirah is looking for an Insurance Coordinator cum Medical Coder. **Salary**: 4,000AED - 5,000AED (Based on experience) Willing to work in Al Wasl Rd Jumeirah **Salary**: AED4,000.00 - AED5,000.00 per month Application Question(s): - Do you have experience in Insurance Handling & Medical Coding in UAE clinic or...

  • Medical Coder

    6 days ago


    Dubai, United Arab Emirates Valiant Healthcare Full time

    Review and analyze medical records to ensure accurate coding and billing. - Assign appropriate ICD-10, DRG, and other relevant codes to medical procedures and diagnoses. - Verify patient insurance coverage and submit claims to insurance companies. - Follow up on unpaid or denied claims and resolve any billing discrepancies. - Maintain confidentiality of...

  • Insurance Coordinator

    3 weeks ago


    Dubai, United Arab Emirates Medicentres Full time

    We are currently looking for a Insurance Coordinator with experience in insurance pre-approvals, insurance submission and re-submission, insurance claim audit/review and should be a certified professional coder **Job Types**: Full-time, Permanent **Experience**: UAE: 2 years (preferred) Insurance: 3 years (preferred) License/Certification: Certified Coder...

  • Insurance Coordinator

    2 months ago


    Dubai, United Arab Emirates MCP Full time

    We are currently looking for a Insurance Coordinator with experience in insurance pre approval, insurance submission and re-submission, insurance claim audit/review and certified professional coder. With good communication skills and a team player. **Salary**: AED5,000.00 - AED6,500.00 per month **Experience**: - Clinic insurance coordinator: 2 years...


  • Dubai, United Arab Emirates MCP Full time

    We are currently looking for a Insurance Coordinator with experience in insurance pre approval, insurance submission and re-submission, insurance claim audit/review and certified professional coder. With good communication skills, a team player and have UAE experience. **Salary**: AED5,000.00 - AED6,500.00 per month **Experience**: - Clinic insurance...


  • Dubai, United Arab Emirates MCP Full time

    We are currently looking for Insurance Coordinator to join our insurance team. With UAE experience, a team player and good communication skills. A certificate coder is a plus. **Salary**: AED4,500.00 - AED7,000.00 per month **Experience**: - UAE: 2 years (preferred) - clinic insurance: 2 years (preferred) License/Certification: - certified coder...

  • Medical Coder

    2 weeks ago


    Dubai, United Arab Emirates Dubai Herbal & Treatment Center Full time

    We are urgently looking for Insurance coding officer-Medical Coder to work with us on project basis. **Job Details**: - Must have knowledge about NEURON-DAMAN-AL MADALLAH- NAS-ENAYA. - Certified Coder with valid CPC or APA or AAPC Certificate. - Insurance and finance coding experience is a must. - Must have at least a minimum of 2 years of work experience...