Job Detail
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Job ID 8998
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Career Level Intermediate
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Experience 2 Years
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Gender Male Female
Job Description
A Medical Coder Inpatient / Outpatient as Canadian Specialist Hospital will ensure documentation and billing compatibility according to the rule engine. He/ She will manage electronic claim submission processes. The role holder will also monitor E-Prescriptions for accuracy and timeliness.
Responsibilities of Medical Coder
- Report day-to-day activities to the designated authority.
- Handle queries from other departments regarding medical coding.
- Coordinate with insurance companies to resolve E-Claim issues.
- Answer staff queries related to medical coding.
- Enter any missing codes to ensure completeness of the revenue cycle.
- Contribute to updating the Hospital Management System (HMS) with relevant codes and information.
- Liaise with approval, billing, and reconciliation teams for process completion.
- Follow management priorities on a daily basis.
- Support and strategize with the approvals team for efficient code-based approvals.
- Report service level auditing findings and monitor compliance with insurance protocols.
- Explore innovative strategies to enhance departmental performance.
- Monitor the rule engine for predictable claim rejections and take necessary actions.
- Ensure proper coding of diagnoses and procedures for accurate billing.
- Implement initiatives to improve the institution’s revenue flow.
- Manage denials effectively to minimize revenue loss.
- Supervise DRG activities according to Assistant Insurance Manager/Insurance Manager instructions.
Qualifications & Experience
Following are the requirements for the role of Medical Coder Inpatient/ Outpatient at Canadian Specialist Hospital:
- Bachelor’s degree with a medical background.
- Certified coder.
- 2+ Years of Experience in Healthcare.
Job Skills & Knowledge
- Excellent communication skills at all levels including excellent listening skills.
- Possess a strong working knowledge of Microsoft Office Suite including Internet Explorer, Outlook, Word, PowerPoint and Excel.
- Good verbal and written communication skills.
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