Overview:
As an Insurance Coder, you will play a vital role in ensuring accurate coding and billing processes for medical services provided by our organization. This position requires expertise in insurance coding systems and regulations, along with a thorough understanding of various insurance providers such as SAADA, ESAAD, NEURON, DAMAN, AL MADALLAH, NAS, and ENAYA. The ideal candidate will be a certified coder with RCM (Revenue Cycle Management) experience and a strong background in insurance and finance coding. A minimum of 2 years of relevant work experience in Homecare or a Medical Facility is required for this role.
Responsibilities:
- Insurance Coding:
- Accurately assign ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to medical procedures and diagnoses.
- Ensure compliance with coding guidelines, regulations, and requirements of various insurance providers.
- Review medical records, reports, and documentation to extract relevant information for coding purposes.
- Billing and Reimbursement:
- Generate and submit insurance claims accurately and promptly.
- Verify insurance coverage and eligibility for patients.
- Follow up on unpaid or denied claims and resolve any billing discrepancies or issues.
- Insurance Knowledge:
- Maintain up-to-date knowledge of insurance plans, policies, and procedures offered by different providers.
- Interpret insurance contracts and guidelines to facilitate proper coding and billing practices.
- Collaborate with insurance companies to address coding-related inquiries or disputes.
- RCM Expertise:
- Utilize Revenue Cycle Management (RCM) tools and software to streamline billing processes and optimize revenue collection.
- Identify opportunities for process improvement and efficiency enhancement within the revenue cycle.
- Team Collaboration:
- Coordinate with healthcare providers, clinicians, and administrative staff to ensure accurate documentation and coding practices.
- Communicate effectively with internal stakeholders to resolve coding-related issues or concerns.
Qualifications:
- Certified Coder with a valid CPC (Certified Professional Coder), APA (Advanced Professional Coder), or AAPC (American Academy of Professional Coders) certificate.
- Proven experience in Revenue Cycle Management (RCM) is essential.
- In-depth knowledge of insurance coding systems, including ICD and CPT coding.
- Previous experience in insurance and finance coding is required.
- Minimum of 2 years of work experience in Homecare or a Medical Facility.
- Flexible attitude with the ability to adapt to changing priorities and environments.
- Strong problem-solving skills and attention to detail.
- Ability to work independently with minimal supervision.
- Immediate availability to join the team.
