Medical Coder

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

Business Strategy

• Pro-actively participates in collaboration with the Line Manager to meet the division's strategic and operational goals.
  
  

Organizational Culture & Compliance

• Adheres to the division's policies, procedures and standards while ensuring compliance with applicable regulatory bodies.
• Provides recommendations towards improving the division's policies and procedures wherever applicable.
• Contributes towards an innovative culture of continuous improvement for enhancing operational efficiency and effectiveness.
• Participates in meetings and maintain professionalism and confidentiality as per the organization's standard code of conduct.
• Timely completion of personal performance evaluation cycle.
  
  

Data & Records Management

• 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’ 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.
  
  

Medical Coding

• 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.
• To perform any other duty as required by the line manager or supervisor that commensurate with the post.
  
  

Self-Management

• Actively participates in organizational training programs and on the job learning to continuously learn and enhance skillset required to perform the job.
  
  

Communication

• Communicates effectively with team members and maintain good inter-functional liaison to ensure smooth implementation of operational activities.
  
  

Qualifications

Education

• Bachelor’s Degree in Health Information Management or any relevant fields
  
  

Experience

• Minimum 2-3 years of progressive career experience
• Relevant experience in a hospital/medical center environment within UAE
• Relevant experience in an IVF facility
  
  

Certification and Licensure

• Coding certificate by AAPC / AHIMA
  
  

Job Specific Skills And Abilities

• Knowledgeable of DOH/DHA and HIPPA rules and regulation
• Strong analytical and problem-solving skills
• Proficiency with Microsoft Office suit