Senior Medical Coder
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Key skills for this role
About the Role
Accurately adjudicate claims, communicate with insurance companies, ensure compliance with guidelines, and prepare reports; candidates should have Medical Coding experience and.
Key Skills for This Role
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Overview
- Accurately adjudicate claims in compliance with data entry rules, policies, and contractual agreements.
- Communicate effectively with insurance companies to handle inquiries and streamline the claims process efficiently.
- Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimize denials. Provides feedback regarding coding errors and oversight.
- Ensures coding follows DHA guidelines and regulations.
- Prepare statistical and analytical reports of coded data for facility administration and improvements.
- Ensures timely submission of medical claims to insurance companies by obtaining referrals and pre-authorization. Reviewing patients’ bills for accuracy.
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