Medical Coder

Knowledge, Skills, Experience Required:

• Accounts for medical coding and abstracting of patient encounters. including diagnostic and procedural information, significant reportable elements, or complications, that need to be included and reviewed on preparing medical claims before submission to 3rd parties and refers to concerned medical team and to direct manager in case needs clarification.

• Researches and analyses medical data on medical file to provide relevant and accurate coding required for medical billing for medical claims, according to ICD-10 AM standards or other coding sources set by the regulator (CCHI-BS, ADA, GTIN, SFDA and GMDN...etc), as directed by KSA Management Protocols and under direct supervision of the branch/region Medical Coordination Manager.

• Prepares all required medical documents supporting the defined diagnoses, procedures, in addition to medical preauthorization numbers or surgery reports and financial receipts for provided medical service and ensures attaching them to related medical claims either on submission or on medical appeals provided to 3 parties to avoid any denial for missing documentations,
• SCFHC license required