Insurance Medical Coder
7 months ago
**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 discrepancies before submission.
- Manage timely resubmissions of rejected claims with sufficient documentation to maximize reimbursement.
- Maintain up-to-date knowledge of DHA regulations and DHPO processes to ensure compliance and minimize claim rejections.
- Collaborate with physicians, nurses and others to clarify documentation and coding inconsistencies.
- Participate in ongoing training and professional development to stay abreast of coding updates and industry standards.
Qualifications:
- AAPC Certified Professional Coder (CPC) certification
- Minimum of 2 years of experience in medical coding, preferably in a polyclinic setting
- Strong understanding of CPC codes for Dental, OB-GYN, Physiotherapy, Chiropractic, and Orthopedics
- Proven experience in liaising with all TPA's and following up on all claim issues.
- Proven proficiency in medical terminology and anatomy
- Familiarity with DHA regulations and DHPO processes
- Excellent attention to detail and accuracy
- Ability to work independently and as part of a team
- Strong communication and problem-solving skills
- Proven experience of Excel skills like Pivot tables and Vlookups to manage analyse Insurance Claims data
**Salary**: AED3,000.00 - AED6,000.00 per month
Application Question(s):
- Ideally has own residential visa in Dubai
**Education**:
- Higher diploma (preferred)
**Experience**:
- Post Certification Insurance Medical Coding: 2 years (required)
- Complete Insurance Submission Management: 2 years (required)
License/Certification:
- AAPC Certified (preferred)
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