naukri
Medical Coder - Outpatient
FATORAH LLC
Sharjah, UAE
Entry
2 weeks ago
Medical CodingICD 10 CMCPT 4Claims AuditingDocumentation ReviewAHIMA Code of Ethics
Free
Job Fit Check
Base Career helps you apply smarter for this job.
?%
Ready to ScanKey skills for this role
Medical CodingICD 10 CMCPT 4
About the Role
Analyze claims for accuracy, communicate with healthcare providers, and maintain coding compliance; requires relevant coding certification and proficiency in coding software.
Key Skills for This Role
Medical CodingICD 10 CMCPT 4Claims AuditingDocumentation ReviewAHIMA Code of Ethics
Responsibilities
- Analyze and audit claims for completeness with relation to medical information and insurance coverage
- Communicate with physicians and other healthcare providers to clarify ambiguous or incomplete documentation
- Scrutinize claims for accuracy, completeness, and compliance with coding and billing standards
- Collaborate with healthcare providers and clinical documentation improvement specialists
- Provide reports and analysis of coded data to support billing, compliance, and quality improvement
- Stay up to date with changes in coding guidelines and regulations
Requirements
- Analyze and audit claims for completeness and accuracy
- Assign ICD 10 CM and CPT 4 codes based on documentation
- Communicate with physicians and healthcare providers to clarify documentation
- Stay updated on coding guidelines and pursue continuing education
- Understand payer contracts and billing guidelines
Full Job Posting
Responsibilities
- Analyzing and auditing of claims for completeness with relation to medical information and insurance coverage for services rendered
- Communicate with physicians and other healthcare providers to clarify ambiguous or incomplete documentation to ensure accurate coding
- Scrutinize claims for accuracy, completeness, and compliance with coding and billing standards before saving the bill
- Collaborate with healthcare providers and clinical documentation improvement specialists to enhance the quality and completeness of medical records
- Provide reports and analysis of coded data to support billing, compliance, and quality improvement efforts
- Stay up to date with changes in coding guidelines and regulations and pursue ongoing education (CEUs) and certifications
- Understand the individual client payer contracts so as to be able to process claims in submission and resubmission
- Be able to process claims either in OP/ER scenario
- Analyze and communicate coding and billing issues of the provider to the supervisors
- Have complete knowledge of billing guidelines of the provider and payer
- Undertake a thorough review of applicable documentation to assess documentation requirement and determine appropriate ICD 10 CM and/or CPT 4/USCLS codes
- Observe AHIMA code of ethics while assigning relevant code sets
Requirements
- Knowledge of ICD 10 CM and CPT 4 coding
- Understanding of billing guidelines and payer contracts
- Ability to communicate with healthcare providers
- Commitment to ongoing education and certification maintenance
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career