Assistant Medical Coder American Hospital Dubai

An Assistant Medical Coder – Revenue at American Hospital Dubai ensures accurate assignment and verification of diagnosis and procedure codes following established coding guidelines and Dubai Health Authority (DHA) e-claims guidelines for all Hospital Claims including self-pay. This role abstracts appropriate data for reporting from inpatient, day surgery, and outpatient encounters. Supports activities of the Revenue Cycle Management Department such as assigning procedural codes, Healthcare Common Procedure Coding System (HCPCS) codes and diagnosis codes at the pre-authorization level.

Responsibilities of Assistant Medical Coder

• Encodes all relevant, current, and documented diagnoses and procedures as performed by attending physicians utilizing the appropriate International Classification of Diseases (ICD) coding.
• Creates an abstract of all demographics, statistical and medical information from each patient record and enters the data into the coding/abstracting system.
• Understands Health Insurance Policy Terms, Coverage, Exclusions and Approval requirements as per the contractual and regulatory obligations.
• Reviews electronic statements for all prescribed diagnostics and pharmacy items along with procedures and complications as documented in the EMR, Claim Form/ operative reports.
• Assigns appropriate codes and send a request to the physician wherever required.
• Ensures completion and specification of Documentation for coding to the highest specificity/severity.
• Applies the appropriate guidelines for the assignment of principal and secondary procedures utilizing the Current Procedural Terminology (CPT) 4 procedure code when reviewing claims with the Outpatient Coordinator for billing purposes.
• Reviews Approval tracks are entered for all approval-required services like Antenatal Consultations, Diagnostics like CT, MRI, and Surgical Procedures, etc. as per the Quick Chart/DPP.
• Prepares Billed Services as per the Corporate / Insurer Approval.
• Reviews services are repeated within the same day and clarifications/medical necessity are sought from the Physician/Laboratory/ Medical Imaging, etc.
• Reviews CEED filtered Medical Necessity/Coding edits. Ensure additional Classification of Diseases (ICD) codes were applied as required/suggested by the Insurance Coordinator.
• Estimates cost preparation received from different clinic teams for self-pay patients.
• Maintains confidentiality regarding department activities.
• Send and report physician queries.
• Achieve daily productivity.
• Close and dispatch delegated insurance, corporate, and self-pay batches in line with the dispatch schedule.

Qualifications & Experience

Following is the eligibility criteria for the role of Assistant Medical Coder – Revenue at American Hospital Dubai:

• Bachelor’s Degree in any field, Medical preferable.
• Certified Coding Specialist (CCS) accredited by the American Health Information Association (AHIMA).

OR

• Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC).
• Minimum of five (5) years experience in ICD-9-CM or ICD-10 coding in an organization handling claims.

Knowledge & Abilities

• Knowledge of Health Insurance Policy Terms, Coverage and Exclusions in the UAE will be an advantage.
• Skills in working with Microsoft Office applications (e.g. Excel, Outlook, and Word).
• Skills in communication and Interpersonal skills .
• Ability to speak and write in English fluently.
• Ability to communicate in Arabic desirable.

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