Coordinator – Medical Audit
Date posted 09.10.2016
Ref number 351811
|Location||UAE - Abu Dhabi|
|Number of Vacancies||1|
|Career Level||Mid Level|
|Minimum Experience||2 - 5 years|
|Minimum Education Level||Bachelors Degree|
|Bachelor Degree in Pharmaceutical studies
Experience: 0-2 Years in similar operations.
Interprets medical information such as disease or symptoms, and diagnosis descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD 9/10 CM and CPT codes.
Ensure to justify with documents and billing rules the stand formulated on coding related disputes with Provider.
Auditing Prior authorization requests as per international coding guidelines.
Perform regular Coding Quality Check on approvals generated by the Authorization Unit.
Plan and issue monthly audit plan and get it approved by Assistant Manager and DCCO
Assist the Assistant Manager in issuing monthly audit recoveries report for circulation to management
Develops and updates procedures manuals to maintain standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue recovery.
Educate and advise Claims Units on proper coding standards and billing rules, documentation, procedures, and requirements
Provide technical guidance to other medical claims staff in identifying and resolving issues or errors, ambiguous or nonspecific documentation, or codes that do not conform to approved coding principles/guidelines.
|Salary and Allowance|
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