Male Medical Coder - cpc
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About the Role
We are seeking a proactive and detail-oriented Medical Coding & Clinical Documentation Improvement (CDI) Specialist to support our outpatient medical center.
Key Skills for This Role
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Overview
We are seeking a proactive and detail-oriented Medical Coding & Clinical Documentation Improvement (CDI) Specialist to support our outpatient medical center.
The ideal candidate will be responsible for reviewing clinical documentation, identifying missing or incomplete information, communicating with physicians for clarication, ensuring coding accuracy, understanding insurance requirements, and coordinating prior authorization requests
Key Responsibilities
- Review outpatient consultation notes, diagnoses, procedures, investigations, and treatment plans for completeness and accuracy.
- Identify documentation gaps, inconsistencies, missing diagnoses, incomplete assessments, and unclear physician notes.
- Communicate directly with physicians and clinical staff to obtain documentation clarification and complete medical records.
- Issue compliant clinical documentation queries to physicians when required.
- Assign accurate ICD-10, CPT, and other applicable coding classifications.
- Verify medical necessity and ensure documentation supports coding and billing requirements.
- Review insurance eligibility, coverage limitations, exclusions, and authorization requirements.
- Prepare and submit prior authorization requests with appropriate clinical documentation.
- Follow up on pending approvals and additional information requests from insurance companies.
- Support claim submission by ensuring records are complete and compliant before billing.
Required Qualifications
- Bachelor's Degree or Diploma in Health Information Management, Nursing, Pharmacy, Medical Laboratory Sciences, Physiotherapy, or another healthcare-related field.
- Certification such as CPC, CCS, COC, CIC, or equivalent is preferred.
- Minimum 2-5 years of experience in medical coding, insurance approvals, CDI, or revenue cycle management.
- Strong knowledge of ICD-10 coding and outpatient documentation requirements.
- Experience handling insurance pre-authorizations and claim requirements.
- position : medical coder
3000 - 5000 aed
duty hours : 10 hours daily
1 day off
Job Type: Full-time
Pay: AED3,000.00 - AED5,000.00 per month
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