RCM Executive - UAEN

Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on a day-to-day basi...

Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on a day-to-day basi...

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RCM Executive - UAEN

NMC Hospital

Healthcare

Posted on 30 Sep, 2024
Apply before 28 Oct, 2024


Experience

2 – 5 years

Location

Sharjah

Qualification

Bachelor's Degree

Nationality

Unspecified

Gender

Any

Job Sector

Healthcare

Job Type

Full Time

Salary

Unspecified

Vacancies

Unspecified

Job Description

  • Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on a day-to-day basis.
  • Analysis of the UCF documentation issue from time to time and providing reports about areas of concern in coding and the claims.
  • Uploads OP E-claims
  • Identifies commonly used ICD codes and relevant CPT codes and compiles the list.
  • Identifies the ICD codes (Diagnosis under Exclusion) and CPT codes (not billable). 
  • Reports variations/irrelevance in the CPT codes used for services/procedures.
  • Assign proper CPT/ HCPCS codes for newly added services/procedures.
  • Reports the audit findings about discrepancies in the claims daily.
  • Be available to the Consultants for clarification regarding the ICD/ CPT codes. 
  • Coordinates with Insurance Doctors and Billing supervisors/ Accountants for E-claim Submission, Resubmission, Follow Up, and Final Sign-off. Claims Processing Team: Resubmission
  • The coder is required to review documentation by the physicians in the UCF / E – Discharge summary and look for discrepancies between the documentation and the coded, diagnosis and selected CPT codes. 
  • Senior Coder required to overview the notes prepared for UCF / Discharge Summary have all the required information. In case any information is missing they need to contact the physician and get it filled.
  • Be available to the Consultants about any clarification regarding ICD/CPT codes. 
  • Senior Coder is required to speak to clinicians about specialty specific rejections and reasons for the rejections and how to avoid such rejections

Job Skills

  • High School, Diploma, Bachelor

Job Location

Sharjah

apply now
NMC Hospital

NMC Hospital

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