Position at Kanad Hospital
Kanad Hospital (formerly known as Oasis Hospital) was established in 1960 by Doctors Pat and Mariam Kennedy at the request of HH Sheikh Zayed Al Nahyan.
The Kennedys were physicians from the United States whose primary goal was to honor God by providing loving healthcare to those in this region.
Ever since our launch, Kanad has been known for its excellent obstetric and pediatric care, and we are proud to be recognized as one of the premier healthcare providers for women and children in the Middle East.
We are honored to be the birthplace of many of the leaders of our great nation including HH Sheikh Mohamed bin Zayed Al Nahyan.
Kanad Hospital is a not-for-profit hospital that strives to diligently follow the teachings of Jesus in the way that we care for women, children, and their families.
We have the privilege of being the first hospital established in the Abu Dhabi Emirate and the first private hospital in the Emirate to attain JCI accreditation.
Additionally, we are the first hospital in the world to obtain JCI Clinical Care Program Certifications for our treatment program for Respiratory Distress Syndrome in newborns and for our Natural Birth after Cesarean Section program for mothers.
Hope : Healthy communities transformed by the love of the God.
Purpose : To honor God by providing exceptional whole person healthcare to the community with the love and compassion of Jesus Christ.
Position Summary : The Outpatient Coding Officer is responsible for reviewing, interpreting and abstracting clinical information from medical records for the purposes of reimbursement, research and compliance utilizing established coding principles and protocols.
Job functions and Key Accountabilities :
Expertise in medical record review to abstract information required to support accurate Outpatient coding
Expertise in assigning accurate ICD-9-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the Outpatient setting.
Applying advanced knowledge of medical terminology , anatomy and physiology, treatment modalities , diagnostic test, medications
Adhere to the HAAD Claims and Adjudication rules and coding guidelines
Acts as a resource when necessary for billing, pre-authorization and reimbursement issues and Inpatient coding.
Excellent interpersonal skills while interacting with physicians, nurses and other staffs.
Be a mentor for the team members and work with team to ensure high level of accuracy.
Ensure high level of patient data confidentiality.
Knowledge on Diagnosis related grouping
Aware of current trends related to medical necessity , DRG and HAAD Claims and Adjudication rules and coding guidelines
Utilizes tools available in 3M to ensure accurate coding.
Ensure knowledge on deductibles, co-payments, co-insurance amounts, insurance exclusions and other policies of all insurances that Oasis Hospital is dealing with.
Critical thinker with ability to perform root cause analysis, prepare and implement action plans and lead improvement initiative.
Query physician for clarification and additional documentation prior to code assignment.
Perform other related duties incidental to the work described herein.
Technical Competencies :
Ensures appropriate selection of principal diagnosis, qualifying secondary diagnosis, Impacting procedures, accurate E / M and others services which is relevant for submission and reimbursement.
Effective physician query process prior to code assignment to obtain greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.
Consistently maintain quality and productivity standards and achieve the productivity target with desired quality of 90%.
Ensures to reduce rejections and get the claim paid at the initial submission of claims.