Coding Auditor

Date posted 09.10.2016

Ref number 351863

Job Details
Location UAE - Dubai
Number of Vacancies 1
Career Level Mid Level
Minimum Experience 2 - 5 years
Minimum Education Level Bachelors Degree
English Level Advanced
Special Requirements
•Bachelor Degree in Medicine/ Nursing / Health Information Management / Information Technology / Health Data Analytics.
•Coding Certification from AAPC or AHIMA
•Minimum 3 years of experience in coding and clinical documentation improvement area.
•Minimum 3 years of experience in healthcare organizations
•Extensive knowledge of ICD-9-CM/ICD-10 CM/CPT coding.
•Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
•Knowledge of reimbursement system and coding structures
•Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
•Creates and monitors inpatient case mix reports and the top DRG’s in the facility to identify patterns, trends and variations in the facility’s frequently assigned DRG groups; investigates and evaluates potential causes for changes or problems; takes appropriate steps in collaboration with the right staff to effect resolution or explain variances.
•Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
•Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
•Continuously evaluates the quality of clinical documentation to identify incomplete or inconsistent document for inpatient and/or outpatient encounters that impact the code selection and resulting DRG groups and payment; brings concerns to the attention of the Health Information Manager for resolution.
•Trains, instructs, and/or provides technical support to medical providers and Medical Coders as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements.
•Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and data management systems to coordinate these with Mediclinic methodology, to ensure that client billing operations are meet.
•Interacts with providers and management to review and/or implement codes and to upd ate charge documents.
•Abides by the Standards of Ethical Coding as se t forth by the regulatory bodies; reports areas of concern to the Coding Manager.
•Demonstrates and maintains competency in the use of computer applications, particularly the coding and abstracting software and hardware currently in use by the Health Information Management and Data Analytics.
•Review, recommends, organization-wide coding guidelines and documentation requirements in line with the DHA and HAAD regulations; develop and implement training and educational programs for physicians and coders.
•Collects and prepares data for studies involving inpatient stays and outpatient encounters for clinical evaluation purposes; prepares and maintains a variety of complex records and reports.
•Collaborate with Case Managers, Quality Improvement, and the Medical Staff on coding and documentation improvement initiatives.
•Performs other related duties as assigned.
Salary and Allowance
Salary Negotiable
Employment Visa Provided
Transportation Negotiable
Housing Negotiable
Medical Insurance Negotiable
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About Company

Company Size Over 200 Employees

On GULF Market Over 10 Years

Company Type Direct Employer

Coding Auditor



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