Clinical Coder in American Hospital Dubai is responsible to encodes diagnoses and procedures using the International Classification of Diseases (ICD) coding system, abstracts patient information into a database, understands health insurance policies, reviews electronic statements for accuracy, assigns appropriate codes, ensures thorough documentation for coding accuracy. This job ID number is 2141.
RESPONSIBILITIES OF CLINICAL CODER IN AMERICAN HOSPITAL
- Encodes all relevant, current, and documented diagnoses and procedures as performed by attending physicians utilizing the appropriate International Classification of Diseases (ICD) coding.
- Creates an abstract of all demographics, statistical and medical information from each patient record and enters the data into the coding/abstracting system.
- Understands Health Insurance Policy Terms, Coverage, Exclusion and Approval requirements as per the contractual and regulatory obligations.
- Assigns appropriate codes and send a request to the physician wherever required.
- Applies the appropriate guidelines for the assignment of principal and secondary procedures utilizing the CPT-4 procedure code when reviewing claims with the Outpatient Coordinator for billing purposes.
- All approval-required services, including Antenatal Consultations, CT scans, MRI, and surgical procedures, have review approval tracks entered for them according to the Quick Chart/DPP.
- Ensures Billed Services should be as per the Approval provided by the Insurer/Corporate.
- Review services are repeated within the same day and clarifications/medical necessity are sought from Physicians/Laboratory/Medical Imaging, etc.
- The Coding Edit Engine of Dubai (CEED) filters medical necessity/coding edits and applies additional ICD codes as required or suggested by the Insurance Coordinator.
- Estimates cost preparation received from different clinic teams for self-pay patients.
- Ensures delegated Insurance, Corporate and Self-Pay batches are closed and dispatched in line with the dispatch schedule.
QUALIFICATIONS
- Bachelor’s Degree in any field, Medical preferred
- Certified Coding Specialist (CCS) accredited by the American Health Information Association (AHIMA) or
- Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC)
PROFESSIONAL EXPERIENCE:
- Minimum two (2) years of experience as a Clinical Coder
- Knowledge of Health Insurance Policy Terms, Coverage and Exclusions in the UAE preferred
- Skills in Microsoft Office (e.g. Excel, Word, PowerPoint, Outlook, etc.)
- Ability to speak and write in English
- Ability to communicate in Arabic preferred