Canadian Specialist Hospital is seeking a Medical Coder with Inpatient (IP) and Outpatient (OP) coding experience, preferably within a hospital setting. The ideal candidate will play a critical role in ensuring accurate documentation, coding, and billing compliance to optimize the hospital’s revenue cycle.
Interested candidates may apply by sending their CV to careers@csh.ae.
Apply NowKey Responsibilities:
- Ensure documentation and billing compatibility according to the rule engine.
- Manage electronic claim submissions and monitor E-Prescriptions for accuracy and timeliness.
- Report daily activities to the designated authority and handle queries from other departments regarding medical coding.
- Coordinate with insurance companies to resolve E-Claim issues and denials.
Enter missing codes to ensure revenue cycle completeness. - Update the Hospital Management System (HMS) with relevant codes and information.
- Liaise with approval, billing, and reconciliation teams to complete the claims process.
- Support and strategize with the approvals team for efficient code-based approvals.
- Monitor the rule engine for predictable claim rejections and take corrective actions.
- Report service level auditing findings and ensure compliance with insurance protocols.
- Implement strategies to enhance revenue flow and minimize denials.
- Supervise DRG activities as per the guidance of the Head of RCM.
Qualifications & Requirements:
- Bachelor’s degree in a medical-related field.
- Certified Coder (CPC, CCS, or equivalent).
- 2+ years of experience in medical coding, preferably in a hospital.
- Strong knowledge of ICD-10, CPT, HCPCS, DRG, and insurance regulations.
- Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint).
- Excellent verbal and written communication skills.
- Ability to work collaboratively with various departments and external stakeholders.
