Job Description: 
Roles & responsibilities: 
Role Summary: 
Medical coding is the process of translating medical diagnostics, treatments, and procedures (medical services) into universal alphanumeric codes after a review of the medical record and claim documents. This is a stage in between when processing a claim. These codes are a component of the data collection process that goes into funding, research, and healthcare planning. Applying the appropriate coding to the claims in accordance with the provider handbook and the coding regulations governing the particular compliance with regard to the coding guidelines for the particular region is the responsibility of the Associate Coder. 
Primary Responsibilities: 
Analyzing and auditing claims for completeness with relation to medical information and insurance coverage for services rendered. Utilizing the appropriate code sets while keeping in mind the patterns of payments and denials in connection with the specific information required to identify and alert services as provided in the context of insurance. Understand the individual client-payer contracts so as to be able to process claims in submission and resubmission based on the same. Be able to process claims in the OP scenario. Analyze and communicate the coding and billing issues of the provider to the supervisors. Have complete knowledge of the billing guidelines of the provider and payer. To assist with documentation review and raise queries on the completeness of the EMR. The coder must carefully evaluate the required documents in conjunction with the relevant edition of the Official Guidelines in order to determine the appropriate CPT-4/USCLS and/or ICD-10-CM codes to be reported.. This will allow them to assess the documentation needed. Must observe the AHIMA code of ethics while assigning relevant code sets.
Job Requirements: 
Determine the correct medical codes for outpatient services by using CPT, HCPCS, and ICD-10-CM coding guidelines. Examine medical records to ensure that the supporting paperwork for the given codes is present. Speak with healthcare providers to get clarification on documents and to request further information if necessary. Keep up with the latest rules and guidelines for coding to make sure you're adhering to industry standards. Keep your productivity and accuracy levels high when doing coding assignments. Respect privacy and confidentiality laws to safeguard patient data. Work together with other coding team members to find solutions for code-related problems. Help with coding audits and offer suggestions for enhancements. To improve your coding abilities, take part in professional development and continuing education courses. Keep up with any modifications to healthcare laws and reimbursement guidelines. 
Desired Candidate Profile: 
Bachelor's degree in medical, paramedical, or life sciences. The most relevant coding certification from AAPC/AHIMA with updated membership. At least 2 years of experience in outpatient claims coding within the UAE. Experience in DRG/FFS coding will be an added advantage. Familiarity with coding tools and electronic health record systems. Understanding of medical terminology, anatomy, and physiology. Strong attention to detail and accuracy. Excellent analytical and problem-solving skills. Ability to work independently and prioritize tasks. Strong communication and interpersonal skills. 
Employment Type 
Full Time 
Company Industry:
Insurance 
Department / Functional Area 
Administration