Medical Coder with AAPC, AHIMA Certificate

Medical Coder with AAPC, AHIMA Certificate

A Medical Coder with e-claims experience is responsible for accurately translating patient information, diagnoses, procedures, and treatments into standardized medical codes, ensuring compliance with UAE healthcare regulations, insurance requirements, and e-claims submissions. The role requires thorough knowledge of coding systems like ICD-10-CM, CPT, and HCPCS, along with hands-on experience in managing electronic claims (e-claims) processes in the UAE healthcare industry.

Key Responsibilities:

1. Medical Coding:
   • Accurately assign and review medical codes for diagnoses, procedures, and services using coding standards (ICD-10-CM, CPT, and HCPCS).
   • Ensure proper coding for various specialties, including inpatient, outpatient, and physician services.
   • Verify and update medical records to ensure all required information is captured.
   • Review and resolve claim rejections, denials, and discrepancies.
   • Work closely with insurance companies to ensure timely payments and compliance with UAE insurance regulations.
   • Use e-claims software (e.g., DHPO, Tashafi, or others) to manage claim submissions, status tracking, and resubmissions.
2. Compliance & Quality Assurance:
   • Stay updated with UAE medical coding guidelines, insurance policies, and regulatory requirements.
   • Ensure compliance with DHA, HAAD, and MOH regulations for coding and billing.
   • Conduct regular audits of medical coding and e-claim submissions to ensure accuracy.
   • Identify and resolve coding errors, improve documentation accuracy, and minimize the risk of fraud or incorrect claims.
   • Work closely with physicians, nurses, billing departments, and other healthcare professionals to clarify diagnosis and documentation issues.
   • Train and educate staff on coding updates, billing processes, and claim management best practices.

Requirements:

Educational Qualifications:

• Diploma or Bachelor’s Degree in Health Information Management, Medical Coding, or a related field.
• Certified Professional Coder (CPC) or equivalent certification (e.g., AAPC, AHIMA).

Experience:

• Minimum 2-3 years of medical coding experience, with a focus on UAE healthcare systems.
• Proven experience with electronic claims submission and management; Dubai experience is mandatory.