OP Medical Coder
NMC Healthcare · Sharjah, UAE · onsite
Responsible for reviewing clinical documentation and assigning standardized medical codes to diagnoses, procedures, and treatments for billing, insurance claims, and maintaining accurate medical records.
- Follow the mandatory SOP, checklist and relevant payer and coding guidelines.
- Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)
- Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.
- Supporting details/ justification available in EMR of all investigation done.
- Checking all CPT codes entered are correct based on CPT guidelines.
- Checking excluded ICD and CPT based on Coding guidelines.
- Approved services and rendered services are match.
- Ensuring all requested investigations are done and invoiced.
- Check the claim with correct Receiver and Payer name before finalizing the bill.
- Check the claim with correct Patient Copay application.
- Ensure all claims are submitted to insurance company.
- Check the payer’s name, rate plan and plan name selected properly.
- College Bachelors or Diploma - Any medical discipline or related fields.
- Coding Certification, CPC – Certified Professional Coder (AAPC)
Proficiency in:
- ICD-10-CM (diagnosis codes)
- CPT (procedure codes)
HCPCS Level II (supplies, equipment, services)