Medical coder - saudi arabia, riyadh
Job summary:performs a variety of tasks under the medical coordination manager including but not limited to preparing and reviewing medical claims on daily basis, with the interpretation needed into medical coding for diagnosis or medic procedures as per international standard of icd-10am and cchi-bs or other references updated by regulator (ada, gtin, sfda, gmdn....etc.), review medical history matching and completeness, providing necessary medic documents supporting all claims before submission; and carries out the require role an denial management process and appeals with 3rd parties, wit awareness of rcm nature and patient journey status related. also shares a additional assigned tasks as supporting on medical preauthorization, eligibility benefit checking process or projects as for drg application on their locationsskillsknowledge, skills, experience required:accounts for medical coding and abstracting of patient encounters. including diagnostic and procedural information, significant reportable elements, or complications, that need to be included and reviewed on preparing medical claims before submission to 3rd parties and refers to concerned medical team and to direct manager in case needs clarification.researches and analyses medical data on medical file to provide relevant and accurate coding required for medical billing for medical claims, according to icd-10 am standards or other coding sources set by the regulator (cchi-bs, ada, gtin, sfda and gmdn...etc), as directed by ksa management protocols and under direct supervision of the branch/region medical coordination manager. prepares all required medical documents supporting the defined diagnoses, procedures, in addition to medical preauthorization numbers or surgery reports and financial receipts for provided medical service and ensures attaching them to related medical claims either on submission or on medical appeals provided to 3 parties to avoid any denial for missing documentations,scfhc license required
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