NMC Healthcare presently has a job opening for suitably qualified candidate for position of a RCM Executive at NMC Royal Hospital, Sharjah, AE. This is an Intermediate level full time job. And salary can range between 6000-12000 AED/month.

Responsibilities of RCM Executive

• Claims Processing Team: Submission
• Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on day-to-day basis.
• Analysis of the UCF documentation issue from time to time and providing reports about areas of concern in coding and the claims.
• Uploads OP E-claims.
• Identifies commonly used ICD codes and relevant CPT codes and compile the list.
• Identifies the ICD codes (Diagnosis under Exclusion) and CPT codes (not billable).
•  Reports variations / irrelevance in the CPT codes used for services/procedures.
•  Assigns proper CPT/ HCPCS codes for newly added services / procedures.
• Reports the audit findings about discrepancies in the claims daily.
• Be available to the Consultants about clarification regarding the ICD/ CPT codes.
•  Coordinates with Insurance Doctors and Billing Supervisor/ Accountants for E claim Submission, Resubmission, Follow Up and Final Sign off. Claims Processing Team: Resubmission
• Coder is required to review documentation by the physicians in the UCF / E – Discharge summary and look for discrepancies between the documentation and the coded, diagnosis and selected CPT codes.
•  Senior Coder required to overview the notes prepared for UCF / Discharge Summary have all the required information. In case any information is missing they need to contact the physician and get it filled.
• Be available to the Consultants about any clarification regarding ICD/CPT codes.
• Senior Coder is require to speak to clinicians about specialty specific rejections and reasons for the rejections and how to avoid such rejections.

Requirements for Role of RCM Executive

• Bachelor, Diploma, High School in Healthcare Administration, Finance, Business Administration, or a related field.
• 2 years of experience in medical billing, coding, or healthcare revenue cycle management.

File Analyst NMC Royal Hospital Sharjah