Outpatient Coding Officer
Kanad Hospital
UAE,Al Ayn,Al Ain
منذ 3 يوم
source : Drjobs.ae

Requirements :

  • Education : Degree in any related fieldpreferably life science background. CCS (AHIMA) or CPC (AAPC)certification is required.
  • Duration and typeof Experience : Minimum of three (3) years Outpatient codingexperience in any setting i.e., hospital, clinic, or other relatedhealthcare field is required.
  • In addition to medical coding,knowledge of billing process will be a plus. Both inpatient andoutpatient experience preferred.

  • Candidateswith Abu Dhabi hospital coding experience preferred
  • Job functions and KeyAccountabilities :

  • Expertise in medical record review to abstractinformation required to support accurate Outpatientcoding
  • Expertise in assigning accurateICD-9-CM, CPT, DRG, HCPCS and other service codes for diagnosis andprocedures performed in the Outpatient setting.
  • Applying advanced knowledge of medical terminology ,anatomy and physiology, treatment modalities , diagnostic test,medications
  • Adhere to the HAAD Claims andAdjudication rules and coding guidelines
  • Actsas a resource when necessary for billing, pre-authorization andreimbursement issues and Inpatient coding.
  • Excellent interpersonal skills while interacting withphysicians, nurses and other staffs.
  • Be amentor for the team members and work with team to ensure high levelof accuracy.
  • Ensure high level of patient dataconfidentiality.
  • Knowledge on Diagnosisrelated grouping
  • Aware of current trendsrelated to medical necessity , DRG and HAAD Claims and Adjudicationrules and coding guidelines
  • Utilizes toolsavailable in 3M to ensure accurate coding.
  • Ensure knowledge on deductibles, co-payments,co-insurance amounts, insurance exclusions and other policies ofall insurances that Oasis Hospital is dealing with.
  • Critical thinker with ability to perform root causeanalysis, prepare and implement action plans and lead improvementinitiative.
  • Query physician for clarificationand additional documentation prior to code assignment.
  • Perform other related duties incidental to the workdescribed herein.
  • TechnicalCompetencies :

  • Ensuresappropriate selection of principal diagnosis, qualifying secondarydiagnosis, Impacting procedures, accurate E / M and others serviceswhich is relevant for submission and reimbursement.
  • Effective physician query process prior to codeassignment to obtain greatest possible diagnostic specificity andclinical documentation to accurately reflect the patient'scondition.
  • Consistently maintain quality andproductivity standards and achieve the productivity target withdesired quality of 90%.
  • Ensures to reducerejections and get the claim paid at the initial submission ofclaims.
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