Medical Coding Officer / Insurance Coordinator
Coding Certifications: Certified ICD 10AM (HIMAA/ EHE)
Expected Joining: One month
Location: Riyadh, Saudi
Job Description:
- Ensure
accurate coding and sequencing as specified by established coding principles and
guidelines.
- Ensure
coders carry out timely & effective claims submission and re-submission (all
areas pertaining to a hospital- ER, OP, Daycare & IP).
- Ensure
effective use of 3M software, Turbocoder tool, AR-DRG identification and H.I.S
module to support reimbursement efficiency in line with physician documentation
needs for an insurance claim.
- Proven
skills in use of code finder and grouping software like 3M and Turbocoder
coding tool.
- Ensuring
timely, accurate, and complete clinical data for direct activity reporting,
quality initiatives, billing, reimbursement, utilization and patient
information systems.
- Reviewing for document
deficiencies and communicates policies and guidelines to physicians to improve
documentation; including direct interaction with the relevant clinicians.
- Investigating and resolving
problems, complaints and incidents occurring within the coding unit.
- Validating reported and
encoded information with the most accurate information.
- Creating reports on un-billed
records due to documentation and registration errors.
- Review Rejection trends based
on denial codes due to medical necessity & other rejection areas, suggest
corrective improvements and education where it required.
- Advanced
principles and practices of medical record keeping.
- Advanced
medical terminology, anatomy & physiology as well as the states, sequences,
progression & description of disease as they apply to medical record coding
and abstraction.
- Maintaining
of logs and productivity records on daily basis.
- Meet
the targets and KPI's set by the supervisor or manager.
- Conduct
analysis and report any trends to the supervisor.
- Must be well versed on insurance coverage and standard exclusion guidelines for effective claim management needs.
- Proficiency in office application (Excel, word, PowerPoint).
Job Requirement:
- Certified
ICD 10AM (HIMAA/ EHE) Medical Coder will be an added advantage.
- Experience
in auditing medical claims will be an added advantage.
- Preferred
candidates with medical background.
- Strong knowledge of anatomy, physiology and medical terminology.
Please Email your CV's to: info@precyso.com