Job Description

Job Category: Administration
:
Supervises the Coding team in codifying and finalizing Inpatient and Out Patient claims per ICD10 and CPT guidelines and DHA regulations.
Responsibilities:
Supervises, guides and perform wide range of activities pertaining to review and coding finalizing of IP and OP claims in reference to Patient EMR 3.2 Handles high cost claims and ensures of sequence of coding/ finalization followed 3.3 Establishes, implements and maintains a formalized review process of coding compliances, including Audit process, designs and uses Audit tools to monitor quality of coding claims 3.4 Orients and trains new joiners and perform ongoing training to current staff 3.5 Liaise with physicians and confirms the services rendered as per EMR 3.6 Ensures the sign off of Discharge summaries on time 3.7 Ensures maintain high quality and producing high volume of codified/ finalized claims 3.8 Ensures IP rejections related to Medical necessity are controlled by documentation and team training 3.9 Evaluates continuously the Quality of Clinical documentation (EMR) and informs the Physicians to fill the necessary fields if required 3.10 Assist in training new joiners in team 3.11 Assist in Employee performance Appraisal, Promotions, retention and termination activities 3.12 Acts as resource of all operations associated 3.13 Performs additional responsibilities as required
Qualifications:
4.1 Bachelor's Degree (Preferred Nursing, Coding or paramedical degree) with coding Certification from AAPC or AHIMA 4.2 At least five (5) years of work experience in related field and industry. 4.3 Sound Knowledge of DRG's, E& M, case management, variance analysis, CMI etc 4.4 Fluent spoken and written English. Spoken Arabic is advantageous but not essential. 4.5 Sound knowledge of MS Office 4.6 Communication, interpersonal skills as applied to interaction with co-workers, supervisor and customers

Skills Required