Job Description
Roles & Responsibilities
- Accurately adjudicate claims in compliance with data entry rules, policies, and contractual agreements.
- Communicate effectively with insurance companies to handle inquiries and streamline the claims process efficiently.
- Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimize denials. Provides feedback regarding coding errors and oversight.
- Ensures coding follows DHA guidelines and regulations.
- Prepare statistical and analytical reports of coded data for facility administration and improvements.
- Ensures timely submission of medical claims to insurance companies by obtaining referrals and pre-authorization. Reviewing patients’ bills for accuracy.
Desired Candidate Profile
Candidates with 5+ years of experience in Medical Coding in UAE with CPC certifications are preferred.