Ensures proper coding of claims in reference to the documentation present which is to be in compliance with the regulator’s coding guidelines
Responsibilities
Reviews information as documented by Physician in medical record and Ensures coding is as per DHA guidelines and regulations.
Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
Consults Physicians for further clarification and understanding of patient charts to avoid any misinterpretations.
Ensures that codes (CPT) tally with Physician’s’ diagnosis (ICD) – checks for documentation of medical necessity.
Provides feedback to Doctors regarding coding errors or oversights.
Circulate coding related information/Issues encountered in billing to identify trends and have them resolved.
Provide accurate answers to queries on coding from any concerned teams
Evaluate and assist in resubmission of claims in reference to coding related denials.
Performs other Duties as assigned by HOD.
Qualifications
A graduate with Bachelor’s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
Fluent spoken and written English. Spoken Arabic is advantageous but not essential.
