Medical Coder

Company: MediClinic Middle East
Death notifications checked to ensure complete and accurate ,code assigned and entered into database within 7 days from date of death....

Job Description	Mediclinic Welcare Hospital is recruiting Medical Coder in the accounts receivables team. The Medical Coder is responsible for coding the diagnoses as per Mediclinic coding standards. This also includes working closely with the resubmission team in resubmitting the claims rejected for medical reason and with the submission team in submitting claims as per general compliance and coding guidelines.
Requirements	Bachelors Degree in Nursing or any other sciences. Coding Certification from AAPC or AHIMA. Experience in DRG Coding and outpatient claims with Proficiency in ICD-10 CM, CPT coding, statistics and electronic medical record system. Experience in claim submission, resubmission and reconciliation is also required.
Key Outputs	•All inpatient and outpatient medical records reviewed and incomplete records updated •Procedures and diagnosis coded on all patient records as per ICD 10 cm official coding guidelines •Death notifications checked to ensure complete and accurate ,code assigned and entered into database within 7 days from date of death •Deceased patient medical records prepared and forwarded to DHA/MOH within 10 days from date of death. •Disallowed amounts are allocated as per standard procedure. Bills followed up and coordinated with dispatch and collection functions, billing cashiers, doctors and nurses to ensure that bills are completed. •Resubmit disallowed bills within stipulated period to different insurance companies and maintain database of bills processed. •Communicate with payers and liaise with internal departments •Working closely with the Resubmission team in resubmitting the claims rejected for medical reason and with the Submission team in submitting claims as per general compliance and coding guidelines •Analyzing the denied claim and making sure that it is resubmitted accurately as per denial reason, ensuring that diagnosis and cpt codes are updated wherever necessary. •Reviewing the RAs (remittance advices) from insurance companies and update for the potential resubmission claims and identify the critical area for improvement. •Review reconciliation claims from medical and Technical point of view and making sure that proper medical justification is given as per denial reason and ensuring that all technical requirements are met. •Publish or generate timely internal reports to line manager and HOD •Interacting with the physicians and other patient care providers regarding billing ,coding and documentation policies, procedures, and regulations; obtaining clarification of conflicting, ambiguous, or non-specific documentation

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