Ensures proper coding of claims in reference to the documentation present which is to be in compliance with the regulator's coding guidelines.
Reviews information as documented by Physician in medical record and Ensures coding is as per DHA guidelines and regulations.
Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
Consults Physicians for further clarification and understanding of patient charts to avoid any misinterpretations.
Ensures that codes (CPT) tally with Physician's' diagnosis (ICD) - checks for documentation of medical necessity.
Provides feedback to Doctors regarding coding errors or oversights.
Circulate coding related information/Issues encountered in billing to identify trends and have them resolved.
Provide accurate answers to queries on coding from any concerned teams
Evaluate and assist in resubmission of claims in reference to coding related denials.
Performs other Duties as assigned by HOD.
Bachelor's Degree (Preferred Nursing, Coding or paramedical degree) with experience Insurance or healthcare industry.
Job Experience Required: At least three years in a health insurance, healthcare industry
Basic Knowledge in Computer and Microsoft application.
* Fluent in spoken and written English. Spoken Arabic is advantageous but not essential.
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