Job Description

Job summary:

We are seeking an experienced Medical Coder to join our healthcare team . The ideal candidate will have a strong background in medical coding, with specific expertise in handling preapprovals, invoicing, submissions, and resubmissions. The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies, and optimizing the revenue cycle management process.

Key Responsibilities:

Medical Coding: Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes Ensure that all coding meets regulatory and insurance requirements Preapprovals: Handle the submission and follow-up of preapproval requests for medical procedures and treatments with insurance companies Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals Invoicing: Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information Collaborate with the finance department to ensure timely and accurate billing Submissions and Resubmissions: Submit medical claims to insurance companies and follow up on the status of submitted claims Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment Communicate with insurance companies to resolve any discrepancies or issues related to claims Compliance: Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements Documentation: Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities Generate reports on coding and billing activities for internal review and analysis
Understand, follow and support all hospital infection control programs.

Requirements

Qualifications:

Education: Diploma or degree in Medical Coding, Health Information Management, or a related field Certification: Certified Professional Coder (CPC) or equivalent certification is required Experience: Minimum of 2 years of experience in medical coding, with specific experience in 1) preapprovals, 2) invoicing, 3) submissions, and 4) resubmissions Knowledge: In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with UAE healthcare regulations and insurance processes is preferred. DHA issued policies Skills: Strong attention to detail and accuracy Excellent communication and interpersonal skills Proficiency in using medical coding software and electronic health records (EHR) systems Ability to work independently and manage multiple tasks efficiently
Job Types: Full-time, Contract

Pay: AED2,500.00 - AED4,000.00 per month

Experience:

* Medical coding: 1 year (Required)