Senior Medical Coder

Senior Medical Coder who can reviews analyzes and accurately assigns standardized medical codes (e.g. ICD-9/10CM CPT HCPCS DRG) for home-based medical services. This ensures proper reimbursement regulatory compliance and coding integrity across the patient care documentation and billing cycle.Key ResponsibilitiesAssigning ICD and CPT codes to Homecare and Outpatient center.Coordinate with insurance company for approvals.Responsible for handling the insurance clarifications and reporting the details to the insurance on timely basis.Handling Rejections and Resubmitting the E claimsCommunicating documentation improvement opportunities and coding issues to appropriate personnelSubmission to all claims at the end of the day for outpatient Billing and submission of Homecare claims on every week without missingCommunicating with coworkers for Preapproval documents and tracking the approval homecare approval expires cases.Query physician for clarification when documentation is inadequate ambiguous or unclear for coding purposes.TASNEEF and Abu dhabi insurance coding guidelines prepared and maintained all documents accordingly.Preparing Jawadha audit documents and tracking accordinglyProviding support to management if any other RCM relatedDenial Management Resubmitted the claims either rejected from insurance appropriate correction with detailed explanation as per the general coding guidelines and insurance specific rules.QualificationsBachelors degree in related field preferredBachelors degree in medical related (Nursing Physician Physiotherapy )Additional InformationMandatory Certification from CPC or CCS by AHIMA2 years experience as a medical coderAdvanced understanding of medical terminology and administration processes.Remote WorkNoEmployment TypeFull-time#J-18808-Ljbffr