OP Medical Coder

Job Description

• Follow the mandatory SOP, checklist and relevant payer and coding guidelines.

• Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)

• Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.

• Supporting details/ justification available in EMR of all investigation done.

• Checking all CPT codes entered are correct based on CPT guidelines.

• Checking excluded ICD and CPT based on Coding guidelines.

• Approved services and rendered services are match.

• Ensuring all requested investigations are done and invoiced.

• Check the claim with correct Receiver and Payer name before finalizing the bill.

• Check the claim with correct Patient Copay application.

• Ensure all claims are submitted to insurance company.

• Check the payer’s name, rate plan and plan name selected properly.

• Comply with reasonable OSH instructions, policies and safe working procedures

• Use of appropriate personal protective equipment and safety systems.

•  Be familiar with emergency and evacuation procedures

•  Not willfully or recklessly endanger anyone’s health and safety

• Assist with the preparation of risk assessments

• Report OSH Hazards, incidents, Near misses and issues

• Reduce, Reuse, Recycling of waste as much as possible

• Attend all OSH Trainings, awareness programs and mock drills.

• Participates in the OSHMS audits, inspections, ensuring standards are maintained