25/05 Rehman
Recruiter at Aster DM Healthcare

Views:153 Applications:3 Rec. Actions:Recruiter Actions:0

Aster DM Healthcare - Medical Coder (2-10 yrs)

Bangalore Job Code: 18260

Interested candidates can fill out the details below :

UAE Coding Submission Job Description :

1. To ensure the patient demographics are accurately captured in HIS from the Insurance card to avoid claim rejection

2. To ensure the CPT, ICD codes are updated in HIS as per the coding & adjudication guidelines

3. To verify the physician's Electronic Medical Records (EMR) are accurately updated in HIS to avail payment for the claim

4. To ensure the Claims are updated with correct authorization codes as per approval protocol of the payers

5. Need to report to immediate supervisor regarding the deficiency of EMR issues, billing errors, medical necessity complaints, approval related issue to avoid claim rejection from payer.

UAE Approval Process Job Description :

1. Need to validate the approval request from Registration department of Clinics and send approval request to payer

2. Assist the patient/physician in getting approval for the procedure from Payers via email or phone calls.

3. Validate the CPT, ICDs in HIS & request approval for the procedures or services in payer portal or HIS

4. Co-ordinate with physician/ payer to get approval for the services as per the authorization protocol.

5. To ensure the Deductible, copay & coinsurance is updated in the HIS system as per the patient's insurance card.

Add a note
Something suspicious? Report this job posting.