Coding Officer
2 weeks ago
About Fakeeh University Hospital
Fakeeh University Hospital delivers the best possible outcomes for its patients through smart technology and academic strengths. Built on an integrated healthcare model, the hospital brings you the legacy of over four decades of compassionate care - drawn from the renowned Fakeeh Care group based in Saudi Arabia.
Fakeeh University Hospital is made up of like-minded healthcare providers, working towards a common goal, which is, delivering quality healthcare to people all around the world. Our passionate staff members have years of experience within and outside the country.
Fakeeh University Hospital is a digital hospital, having fully integrated electronic medical records, supporting improvements to the quality and efficiency of healthcare services for patients and the community at large. Additionally, we operate an efficient emergency department Job Profile:
Establish and maintain the diagnostic/procedural coding system as approved by the hospital’s medical/administrative directive and Dubai Health Authority
Code all relevant, current and documented diagnoses and procedures as performed by attending physicians utilizing the appropriate ICD coding
Abstract all demographic, statistical and medical information from each patient record and enter the data into the coding/abstracting system
Review Claims for all prescribed diagnostics and pharmacy items along with procedures and complications as documented in the EMR, Claim Form/ operative reports. Assign appropriate codes and send a request to physician wherever required.
Responsible for thoroughly knowing and utilizing all coding systems both inpatient and outpatient according to the most recent rules, regulations, and conventions.
Review rejections and resubmit such claims from payers and assign appropriate codes based on response from physicians for queries raised after rejection
Review scrubber software report details & amend the coding in HIS based-on query response and documentation in EMR
Provide technical guidance to physician’s and other departmental staff in identifying and resolving issues or errors such as Incomplete or Missing records and documentation, ambiguous or nonspecific documentation, or codes that do not confirm to approved coding principles/guidelines
Prepare and update exclusions by Payers based on ICD10 codes and CPT
Prepare benefit plans based on insurance contracts
Prepare monthly claims for E submission and monthly reports of productivity and completion of coded batches
**Responsibilities**:
Communication (with patients and Insurance Companies)
Compliance to policies/regulation
Participation in organization wide initiatives
People/team Orientation
Problem Solving / Decision Making
Quality (Claims analysis / reconciliations)
Technical/ Business Knowledge (Hospital Policies and Insurance Company policies) Education:
Graduation in Allied Health
**Diploma in Equivalent or CCS Experience**:
A minimum of 3+ years’ experience of working in Coding Company/Medical record or RCM department.
A minimum of 1 years’ experience of Revenue Cycle Management in Dubai
**Skills**:
Ability to solve problems and execute on initiatives.
Ability to work on Microsoft excel (extensive).
Ability to work collaboratively internally and externally.
Ability to analyse trends for claims rejections based on physician documentation, ICD 10 and CPT.
Demonstrated organizational and interpersonal skills.
Ability to interpret E claims data.
Ability to understand medical terminology and billing terminology. Competencies:
Quality oriented
Abilitty to manage stress
Taking Responsibility
Teamwork
Adaptability
Customer Service
Understanding the Job
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