Senior Associate.Insurance.Medcare Management Office – Ansar Gallery

  • Anywhere

Analysis

  • Quantitative analysis – Perform a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered
  • Qualitative analysis – Evaluate the record for documentation consistency and adequacy. Ensure that the final diagnosis accurately reflects the care and treatment rendered. Review the records for compliance with established third party reimbursement agencies and special screening criteria
  • Check Patient Records and Documentation

  • Receive the patient medical record on daily basis and check any deficiency in documentation, if any, notify the concerned staff and send it to physician
  • Receive the completed records and ensure that the marked deficiencies are cleared and are in compliance with the standards
  • Ensure all records are deficient free
  • Liaising with the Nursing in charge and Physicians for adequate documentation
  • Coding

  • Follow code guidelines codes for the diagnosis with maximum specificity and accuracy and make sure that codes are written in physical records and in medical software as well
  • Assign E/M codes for each consultation as per the documentation and guidelines
  • Assign CPT codes for special procedures as per guidelines
  • Ensure all the patient encounters of the previous month are coded as per the guideline and E/M codes on or before 5th of each month to send the data to HAAD and insurance submission
  • Responsible for any queries regarding coding from HAAD and insurance companies
  • Perform the duties regarding coding as per the requirement
  • Job interactions

  • Works closely with internal stakeholders such as clinicians and nurses in matters related to reviewing the documentation to understand the patient’s diagnoses assigned and procedures performed during their visit.
  • Advanced Qualification / Certification / Specialist Training

  • CCA (Certified Coding Associate)/ CPC-Outpatient Hospital/CPC-Payer/AAPC Certification in medical coding
  • Minimum Experience

  • 1-2 years
  • About Us Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, clinics and pharmacies. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC countries through our differentiated healthcare services across the “Aster”, “Medcare” and “Access” brands. About the Team

    Medcare Hospitals and Medical Centres (Medcare), the premium healthcare division of Aster DM Healthcare, is one of the pioneering healthcare providers in the region.

    With a focus on delivering a patient-centric journey as well as encouraging clinical excellence and state-of-the-art care, Medcare operates three multi-specialty hospitals including Medcare Hospital Safa Park Dubai, Medcare Hospital Sharjah and Medcare Women and Children Hospital in Dubai and one specialty hospital Medcare Orthopaedics & Spine Hospital. In addition, it has three specialty centres and 12 multi-specialty centres in key locations across Dubai and Sharjah.

    With a team of 350+ qualified healthcare professionals, Medcare promotes and supports the highest standards in preventive, curative and rehabilitative healthcare.

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