Male Medical Coder - cpc
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Key skills for this role
About the Role
We are seeking a proactive Medical Coding & Clinical Documentation Improvement Specialist to support our outpatient medical center. Responsibilities include reviewing clinical documentation, assigning ICD-10/CPT codes, communicating with physicians, and handling insurance pre-authorizations.
Key Skills for This Role
Responsibilities
- Review outpatient consultation notes, diagnoses, procedures, investigations, and treatment plans for completeness and accuracy
- Identify documentation gaps, inconsistencies, missing diagnoses, incomplete assessments, and unclear physician notes
- Communicate directly with physicians and clinical staff to obtain documentation clarification
- Assign accurate ICD 10, CPT, and other applicable coding classifications
- Verify medical necessity and ensure documentation supports coding and billing requirements
- Review insurance eligibility, coverage limitations, exclusions, and authorization requirements
- Prepare and submit prior authorization requests with appropriate clinical documentation
- Follow up on pending approvals and additional information requests from insurance companies
- Support claim submission by ensuring records are complete and compliant before billing
Requirements
- Bachelor's Degree or Diploma in Health Information Management, Nursing, Pharmacy, Medical Laboratory Sciences, Physiotherapy, or another healthcare related field
- Certification such as CPC, CCS, COC, CIC, or equivalent is preferred
- Minimum 2 5 years of experience in medical coding, insurance approvals, CDI, or revenue cycle management
- Strong knowledge of ICD 10 coding and outpatient documentation requirements
- Experience handling insurance pre authorizations and claim requirements
Full Job Posting
Overview
- We are seeking a proactive and detail oriented Medical Coding & Clinical Documentation Improvement (CDI) Specialist to support our outpatient medical center.
- The ideal candidate will be responsible for reviewing clinical documentation, identifying missing or incomplete information, communicating with physicians for clarification, ensuring coding accuracy, understanding insurance requirements, and coordinating prior authorization requests.
Key Responsibilities
- Review outpatient consultation notes, diagnoses, procedures, investigations, and treatment plans for completeness and accuracy.
- Identify documentation gaps, inconsistencies, missing diagnoses, incomplete assessments, and unclear physician notes.
- Communicate directly with physicians and clinical staff to obtain documentation clarification and complete medical records.
- Issue compliant clinical documentation queries to physicians when required.
- Assign accurate ICD 10, CPT, and other applicable coding classifications.
- Verify medical necessity and ensure documentation supports coding and billing requirements.
- Review insurance eligibility, coverage limitations, exclusions, and authorization requirements.
- Prepare and submit prior authorization requests with appropriate clinical documentation.
- Follow up on pending approvals and additional information requests from insurance companies.
- Support claim submission by ensuring records are complete and compliant before billing.
Required Qualifications
- Bachelor's Degree or Diploma in Health Information Management, Nursing, Pharmacy, Medical Laboratory Sciences, Physiotherapy, or another healthcare related field.
- Certification such as CPC, CCS, COC, CIC, or equivalent is preferred.
- Minimum 2 5 years of experience in medical coding, insurance approvals, CDI, or revenue cycle management.
- Strong knowledge of ICD 10 coding and outpatient documentation requirements.
- Experience handling insurance pre authorizations and claim requirements.
Compensation
- Salary: 3000 5000 AED per month
- Duty hours: 10 hours daily
- 1 day off
Work Location
- Work Location: In person
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