Job Description
Job Description
- .Supervises the Coding team in codifying and finalizing Inpatient and Out Patient claims per ICD10 and CPT guidelines and DHA regulations.
Responsibilities
- Supervises, guides, and performs a wide range of activities pertaining to review and coding/finalizing of IP and OP claims in reference to Patient EMR
- Handles high-cost claims and ensures proper sequence of coding/finalization is followed
- Establishes, implements, and maintains a formalized review process of coding compliance, including audit processes; designs and uses audit tools to monitor quality of coding claims
- Orients and trains new joiners and provides ongoing training to current staff
- Liaises with physicians and confirms the services rendered as per EMR
- Ensures timely sign-off of discharge summaries
- Ensures high quality and high volume of codified/finalized claims
- Controls IP rejections related to medical necessity through documentation and team training
- Continuously evaluates the quality of clinical documentation (EMR) and informs physicians to complete necessary fields if required
- Assists in training new joiners in the team
- Assists in employee performance appraisal, promotions, retention, and termination activities
- Acts as a resource for all operations associated
- Performs additional responsibilities as required
Qualifications
Bachelor’s Degree (preferred in Nursing, Coding, or Paramedical) with coding certification from AAPC or AHIMA
At least five (5) years of work experience in the related field and industry
Sound knowledge of DRGs, E&M, case management, variance analysis, CMI, etc.
Fluent in spoken and written English; spoken Arabic is advantageous but not essential
Proficient in MS Office
Strong communication and interpersonal skills for effective interaction with co-workers, supervisors, and customers
