Team Leader - Coding

NMC Healthcare

  • Dubai
  • Permanent
  • Full-time
  • 6 days ago
Job Category: AdministrationJob 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 AHIMAAt least five (5) years of work experience in the related field and industrySound knowledge of DRGs, E&M, case management, variance analysis, CMI, etc.Fluent in spoken and written English; spoken Arabic is advantageous but not essentialProficient in MS OfficeStrong communication and interpersonal skills for effective interaction with co-workers, supervisors, and customers

NMC Healthcare

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