Overview

Reporting to the Senior Medical Coder/ Coding Supervisor, the Medical Coder role is responsible for reviewing coding of medical cases, handling claims submission to payers, and all revenue cycle/billing tasks assigned. The role is also responsible in ensuring the accuracy of the coding in patient health records.

Responsibilities

• Pro-actively participates in collaboration with the Line Manager tomeet the division\'s strategic and operational goals.
• Adheres to the division\'s policies, procedures and standards while ensuring compliance with applicable regulatory bodies.
• Reviews medical records documented by physicians, nurses and other clinical staff and ensures all medical records are in place with no missing documentation.
• Validates physicians\xe2\x80\x99 clinical documentation data quality and provides documentation tips/training to concerned staff for improved reporting to senior management.
• Provides data to authorized personnel for studies and/or research purposes.
• Assists in external medical audits by coordinating with the auditors and providing access to the required medical records.
• Performs periodic internal audits to improve and sustain quality levels and compliance.
• The incumbent checks and sequences the most accurate ICD10- CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information.
• Assures the final diagnoses and operative procedures stated by the physician are valid and complete.
• Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
• Evaluates the record for documentation consistency and adequacy.
• Ensures that the final diagnosis accurately reflects the care and treatment rendered. Computes and gives the correct DRG coding for all inpatients cases.
• Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or
• unclear for resubmission purposes.
• Ensures coding as per DOH/DHA guidelines and regulations.

Qualifications

• Bachelor\xe2\x80\x99s Degree in Health Information Management or any relevant fields
• Minimum 4-5 years of progressive career experience
• Relevant experience in a hospital/medical center environment within UAE
• Coding certificate by AAPC / AHIMA
• Knowledgeable of DOH/DHA and HIPPA rules and regulation
• Desired: Fluency in written and spoken Arabic

Mubadala Health