Dental Coder-zayed City, Al Dhafra Region
4 weeks ago
Key Responsibilities:
- Medical/ Dental Coding:
- Ensure that all coding meets regulatory and insurance requirements
- Preapprovals:
- Handle the submission and follow-up of preapproval requests for dental procedures and treatments with insurance companies
- Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals
- Invoicing:
- Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information
- Collaborate with the finance department to ensure timely and accurate billing
- Submissions and Resubmissions:
- Submit medical claims to insurance companies and follow up on the status of submitted claims
- Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment
- Communicate with insurance companies to resolve any discrepancies or issues related to claims
- Compliance:
- Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations
- Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements
- Documentation:
- Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities
- Generate reports on coding and billing activities for internal review and analysis
Understand, follow and support all hospital infection control programs.
**Requirements**:
Qualifications:
- Education:
- Diploma or degree in Medical Coding, Health Information Management, or a related field
- Certification:
- Certified Professional Coder (CPC) or equivalent certification is required
- Experience:
- Minimum of 2 years of experience in medical coding, with specific experience in 1) preapprovals, 2) invoicing, 3) submissions, and 4) resubmissions
- Knowledge:
- Familiarity with UAE healthcare regulations and insurance processes is preferred. DHA issued policies
- Skills:
- Strong attention to detail and accuracy
- Excellent communication and interpersonal skills
- Proficiency in using medical coding software and electronic health records (EHR) systems
- Ability to work independently and manage multiple tasks efficiently
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