Clinical Coder
DHA
مجموع سنوات الخبرة :8 years, 11 أشهر
♦Process claim forms in relation to diagnose-ICD-10cm and Procedure-CPT.
♦Handling the rejection and resubmit with clear justification to the insurance
♦Understanding medical technology in relation to diagnose and procedure.
♦Following the DHA policy procedures to ensure proper Coding.
♦Provide prompt action in identifying and solving claim processing problems.
Medical Coding.
• Performed day to day functions associated with coding, abstracting and revenue cycle
• Reviewed patient records for proper documentation
• Assigned ICD-9-CM codes for procedures and diagnoses
• Entered and verified abstract data elements
•Medical Billing.
•Receiving patient treatment codes to use in assembling reimbursement claims
•Creating reimbursement claims and transfer to third-party payers
•Coordinating reimbursement activities with payers
•Billing patients for medical services
•Communicating with medical billing specialists to ensure treatment codes are accurately received
•Coordinating insurance reimbursement of care providers
•Handling patient billing
•Medical Bill Submission:
•E-claim submission for the medical and pharmacy through HAAD green rain.
•Resubmitting the rejected claims with clear justification to the insurance.
•Handling the bill generation and sending preapproval for all insurance.
•Checking the insurance card eligibility as per SOP for all patients.
•Updating green rain drug codes for pharmacy.
E/M Coding)
•Followed ICD-9Cm and
Manage outpatient coding for medical centers registered with the hospital
• Process a minimum of 200 claims a day conforming to ICD-9 and CPT-4 standards
• Punch patient information on HBR-ER
• Handle claims relevant to dentists, surgeries, psychiatry visits and diagnostic testing
B'pharmacy.-2006
