.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 performs a wide range of activities pertaining to review and coding/finalizing of IP and OP claims in reference to Patient EMR
Handles high-cost claims and ensures proper sequence of coding/finalization is followed
Establishes, implements, and maintains a formalized review process of coding compliance, including audit processes; designs and uses audit tools to monitor quality of coding claims
Orients and trains new joiners and provides ongoing training to current staff
Liaises with physicians and confirms the services rendered as per EMR
Ensures timely sign-off of discharge summaries
Ensures high quality and high volume of codified/finalized claims
Controls IP rejections related to medical necessity through documentation and team training
Continuously evaluates the quality of clinical documentation (EMR) and informs physicians to complete necessary fields if required
Assists in training new joiners in the team
Assists in employee performance appraisal, promotions, retention, and termination activities
Acts as a resource for all operations associated
Performs additional responsibilities as required
Qualifications: Bachelor's Degree (preferred in Nursing, Coding, or Paramedical) with coding certification from AAPC or AHIMA At least five (5) years of work experience in the related field and industry Sound knowledge of DRGs, E&M, case management, variance analysis, CMI, etc. Fluent in spoken and written English; spoken Arabic is advantageous but not essential Proficient in MS Office Strong communication and interpersonal skills for effective interaction with co-workers, supervisors, and customers