Medical Coder

Full Time

Website NMC Healthcare

NMC Healthcare is the largest private healthcare company in the UAE and ranks amongst the leading fertility service providers in the world. Over the last 46 years, NMC has earned the trust of millions, thanks to its personalized care, genuine concern and a sincere commitment to the overall well-being of the patient.NMC Healthcare is the largest private healthcare company in the UAE and ranks amongst the leading fertility service providers in the world. Over the last 46 years, NMC has earned the trust of millions, thanks to its personalized care, genuine concern and a sincere commitment to the overall well-being of the patient.

Medical Coder

Job Description

SUBMISSION TEAM

  • Follow the mandatory SOP, checklist and relevant payer and coding guidelines.
  • Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)
  • Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.
  • Supporting details/ justification available in EMR of all investigation done.
  • Checking all CPT codes entered are correct based on CPT guidelines.
  • Checking excluded ICD and CPT based on Coding guidelines.
  • Approved services and rendered services are match.
  • Ensuring all requested investigations are done and invoiced.
  • Check the claim with correct Receiver and Payer name before finalizing the bill.
  • Check the claim with correct Patient Copay application.
  • Ensure all claims are submitted to insurance company.
  • Check the payer’s name, rate plan and plan name selected properly.

Responsibilities

SUBMISSION TEAM

  • Follow the mandatory SOP, checklist and relevant payer and coding guidelines.
  • Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)
  • Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.
  • Supporting details/ justification available in EMR of all investigation done.
  • Checking all CPT codes entered are correct based on CPT guidelines.
  • Checking excluded ICD and CPT based on Coding guidelines.
  • Approved services and rendered services are match.
  • Ensuring all requested investigations are done and invoiced.
  • Check the claim with correct Receiver and Payer name before finalizing the bill.
  • Check the claim with correct Patient Copay application.
  • Ensure all claims are submitted to insurance company.
  • Check the payer’s name, rate plan and plan name selected properly.

Qualifications

Bachelor with CPC Coding/AAPC

To apply for this job please visit eiby.fa.em2.oraclecloud.com.