Assistant Clinical Coder

Job Description

• Supports coding activities of the Revenue Cycle Management Department by assigning diagnosis, procedural and HCPCS codes at pre-authorization, concurrent and final coding.
• Reports all relevant documented diagnoses and procedures as performed by physicians utilizing the appropriate code sets recommended by the regulator.
• Supports and assists in recovery audits by applying sound judgment, thereby reducing the risk of penalty/recovery
• 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, Exclusions and Approval requirements as per the contractual and regulatory obligations.
• Initiates physician query if required and ensures the physician responds to the query with clarity.
• Ensures quality documentation is available to report the highest level of specificity/severity.
• Reports Utilization Trends, Documentation deficiencies, Billing discrepancies and audit findings for Process/Performance Improvement.
• Reviews approval tracks for all approval-required services like Antenatal Consultations and Diagnostics such as Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and Surgical Procedures etc. as per the contractual agreements.
• Reviews Coding Edit Engine of Dubai (CEED) filtered Medical necessity/coding edits and ensures additional International Classification of Diseases (ICD) codes are reported as required.
• Trains physician and clinical team on documentation improvement practices.
• Liaises with medical records and hospital quality department in multi-disciplinary audits. 
• Provides cost estimates for elective admissions as required based on the hospital cost estimate policy.
• Ensures daily productivity is achieved.