Coder-outpatient Coding Officer

4 days ago


AlAyn, United Arab Emirates Kanad Hospital Full time

Position at Kanad Hospital_

Kanad Hospital (formerly known as Oasis Hospital) was established in 1960 by Doctors Pat and Mariam Kennedy at ‎the request of HH Sheikh Zayed Al Nahyan. The Kennedys were physicians from the United States whose primary ‎goal was to honor God by providing loving healthcare to those in this region. Ever since our launch, Kanad has been ‎known for its excellent obstetric and pediatric care, and we are proud to be recognized as one of the premier ‎healthcare providers for women and children in the Middle East. We are honored to be the birthplace of many of ‎the leaders of our great nation including HH Sheikh Mohamed bin Zayed Al Nahyan. ‎

Kanad Hospital is a not-for-profit hospital that strives to diligently follow the teachings of Jesus in the way that we ‎care for women, children, and their families. We have the privilege of being the first hospital established in the Abu ‎Dhabi Emirate and the first private hospital in the Emirate to attain JCI accreditation. Additionally, we are the first ‎hospital in the world to obtain JCI Clinical Care Program Certifications for our treatment program for Respiratory ‎Distress Syndrome in newborns and for our Natural Birth after Cesarean Section program for mothers.‎

**_Hope: Healthy communities transformed by the love of the God.‎_**
**_Purpose: To honor God by providing exceptional whole person healthcare to the community with the love and compassion of Jesus Christ.‎_**

**Position Summary**: The Outpatient Coding Officer is responsible for reviewing, interpreting and abstracting clinical information from medical records for the purposes of reimbursement, research and compliance utilizing established coding principles and protocols.

**Job functions and Key Accountabilities**:

- Expertise in medical record review to abstract information required to support accurate Outpatient coding
- Expertise in assigning accurate ICD-9-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the Outpatient setting.
- Adhere to the HAAD Claims and Adjudication rules and coding guidelines
- Acts as a resource when necessary for billing, pre-authorization and reimbursement issues and Inpatient coding.
- Excellent interpersonal skills while interacting with physicians, nurses and other staffs.
- Be a mentor for the team members and work with team to ensure high level of accuracy.
- Ensure high level of patient data confidentiality.
- Knowledge on Diagnosis related grouping
- ** **Aware of current trends related to medical necessity, DRG and HAAD Claims and Adjudication rules and coding guidelines
- ** **Utilizes tools available in 3M to ensure accurate coding.
- ** **Ensure knowledge on deductibles, co-payments, co-insurance amounts, insurance exclusions and other policies of all insurances that Oasis Hospital is dealing with.
- ** **Critical thinker with ability to perform root cause analysis, prepare and implement action plans and lead improvement initiative.
- ** **Query physician for clarification and additional documentation prior to code assignment.
- ** **Perform other related duties incidental to the work described herein.

**Technical Competencies**:

- Ensures appropriate selection of principal diagnosis, qualifying secondary diagnosis, Impacting procedures, accurate E/M and others services which is relevant for submission and reimbursement.
- Effective physician query process prior to code assignment to obtain greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.
- Consistently maintain quality and productivity standards and achieve the productivity target with desired quality of 90%.
- Ensures to reduce rejections and get the claim paid at the initial submission of claims.



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