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Medical Coding Officer

2 weeks ago

Dubai, United Arab Emirates PRECYSO HEALTHCARE MANAGEMENT FZ-LLC Full time

Ensure accurate coding and sequencing as specified by established coding principles and guidelines.
- Ensure coders carry out timely & effective claims submission and re-submission (all areas pertaining to a hospital
- ER, OP, Daycare & IP).
- Ensure effective use of 3M software, Turbocoder tool, AR-DRG identification and H.I.S module to support reimbursement efficiency in line with physician documentation needs for an insurance claim.
- Proven skills in use of code finder and grouping software like 3M and Turbocoder coding tool.
- Ensuring timely, accurate, and complete clinical data for direct activity reporting, quality initiatives, billing, reimbursement, utilization and patient information systems.
- Reviewing for document deficiencies and communicates policies and guidelines to physicians to improve documentation; including direct interaction with the relevant clinicians.
- Investigating and resolving problems, complaints and incidents occurring within the coding unit.
- Validating reported and encoded information with the most accurate information.
- Creating reports on un-billed records due to documentation and registration errors.
- Review Rejection trends based on denial codes due to medical necessity & other rejection areas, suggest corrective improvements and education where it required.
- Advanced principles and practices of medical record keeping.
- Maintaining of logs and productivity records on daily basis.
- Meet the targets and KPI's set by the supervisor or manager.
- Conduct analysis and report any trends to the supervisor.
- Must be well versed on insurance coverage and standard exclusion guidelines for effective claim management needs.
**Job Requirement**:

- Certified ICD 10AM (HIMAA/ EHE) Medical Coder will be an added advantage.
- Experience in auditing medical claims will be an added advantage.
- Strong knowledge of anatomy, physiology and medical terminology.
**Expected Joining**: One month

**Location**: Riyadh, Saudi

**Job Types**: Full-time, Permanent, Fresher