:

• The incumbent checks and sequences the most accurate ICD-9/ ICD10-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
• Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
• Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Computes and gives the correct DRG coding all inpatients cases.
• Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
• Analyzes doctors\' documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
• Ensures coding is as per DHA or MOH guidelines and regulations.
• Provides feedback to Doctors regarding coding errors or oversights.
• Constantly updates to the latest coding versions and HAAD coding directives.
• Performs miscellaneous job-related duties as assigned.
• Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title

Responsibilities:SUBMISSION TEAM

• Follow the mandatory SOP, checklist and relevant payer and coding guidelines.
• Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)
• Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.
• Supporting details/ justification available in EMR of all investigation done.
• Checking all CPT codes entered are correct based on CPT guidelines.
• Checking excluded ICD and CPT based on Coding guidelines.
• Approved services and rendered services are match.
• Ensuring all requested investigations are done and invoiced.
• Check the claim with correct Receiver and Payer name before finalizing the bill.
• Check the claim with correct Patient Copay application.
• Ensure all claims are submitted to insurance company.
• Check the payer\'s name, rate plan and plan name selected properly.

Qualifications:

• A graduate of Bachelor\'s Degree in Allied Health Sciences or related areas
• At least two (2) years of coding experience with valid Certified Coding Associate(CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
• Must be computer Literate, MS Office.
• Excellent command of oral and written English.
• Performance Criteria:

Achievement of Core objectives in line with the expectations of the Management and stakeholders
Ability to work constructively and interact professionally with others
Ability to coordinate multiple task, adjust to changing priorities and work within deadlines.
Ability to attend to meetings outside of normal business hours

NMC Healthcare