About the Role
Al Futtaim Group Healthcare is looking for Insurance Coder to provide Insurance coding support to the clinic to ensure accurate flow of medical information and patient data between physicians, patients and third-party payers through the use of specific & accurate CPT/ ICD/ DDC codes.
Your will be responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers.
About the Responsibility
Responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers with the use of accurate numeric code to define diagnostics, treatments and procedures and to enter this information into a the facility’s database using medical coding protocol to produce a statement or claim.
To act as a liaison between the facility and payment parties to investigate the claim, verify its information, and update the database in the instance that a claim is denied by the third-party payer.
Receive and review patient charts and documents for accuracy
Ensure that all codes are current and active
Report missing or incomplete documentation
Meet daily coding production
Update and maintain document lists
Performs accurate charge entries
Ensure proper coding on provider documentation
Serves as resource regarding insurance resolutions and coding questions
Handles co-pays, balances, and charge posting
Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations.
Review patient medical records
Coding treatment information using Current Procedural Terminology (CPT) codes
Communicating with medical billing specialists to ensure treatment codes are accurately received
Performs additional duties assigned by Unit In-charge as needed
Liaise and support other members of the multi-disciplinary team and other agencies relating to patient care, maintaining good communication channels.
Assess, plan, develop, implement and evaluate programmes to promote health and well-being.
Be aware of safe guarding policies, both local and national, and implement such policies should it become necessary.
Recognise and refer patients presenting with holistic health needs, including mental illness.
Assess clinical conditions, prioritise health problems and intervene appropriately, including initiation of effective emergency care.
Manage own patient caseload including the interpretation of test results and the ability to act upon these.
About the Requirements
Minimum Qualifications and Knowledge:
Bachelor’s Degree in any stream
Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA Certificate
Fluency in English (speak, read and write).
Arabic speaking skills will be an added advantage.
Computer Literacy skills is required.
Minimum Experience:
Minimum 4+ years experience in a similar role.
Job-Specific Skills:
Understanding of medical terminology, anatomy and physiology
Ability to work independently or as an active member of a team
Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
Accurate and precise attention to detail
Behavioural Competencies:
Excellent presentation and analytical skills
Exceptional written and oral communication skills
Good decision making skills
Strong operational thinking skills
Critical Thinking
Conflict Management
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