Senior Executive.Insurance.Medcare Hospital Sharjah (Br)

Aster DM Healthcare · الشارقة, الإمارات العربية المتحدة

مرمز طبيدوام كاملفي الموقع

Your Responsibilities-

  • Review and assign accurate ICD-10 and CPT codes for healthcare services.
  • Perform IR DRG/MS DRG coding in accordance with coding guidelines and industry standards.
  • Analyze DRG severity and Case Mix Index (CMI) to ensure accurate reimbursement and compliance.
  • Utilize the Query Management System (QMS) to identify documentation improvement opportunities and support Clinical Documentation Improvement (CDI).
  • Ensure compliance with UAE healthcare regulations, insurance policies, and payer billing guidelines.
  • Collaborate with physicians and other healthcare professionals to ensure accurate coding and billing practices.
  • Maintain complete knowledge of provider and payer billing guidelines.
  • Support coding quality initiatives and ensure coding accuracy.

Education & Experience

  • Minimum 2 years of experience in the Medcare RCM team or a similar medical coding role.
  • Strong knowledge of IR DRG/MS DRG coding concepts and coding guidelines.
  • Excellent case mix analysis and decision-making skills.
  • Experience in MS DRG or Surgery coding for US projects is an added advantage.
  • Good understanding of UAE healthcare regulations and insurance processes.
  • Certification from AAPC or AHIMA is mandatory.
  • Bachelor's degree in Life Sciences or a Doctorate degree.

عن صاحب العمل

Aster DM Healthcare

دبي · الإمارات العربية المتحدة

From a single medical centre to a performance-driven healthcare enterprise spread across more than 366 medical establishments, including 34 hospitals, 131 clinics and 502 pharmacies in 7 countries and growing, Aster DM Healthcare has transitioned into being the leading healthcare authority across the Middle East and India. Currently one of the largest and fastest growing conglomerates in the MENA region, Aster DM Healthcare covers the full spectrum of healthcare services. An expansive portfolio includes hospitals and clinics, pharmacies, diagnostic centres, educational institutions, healthcare management and healthcare support systems. Headquartered in Dubai, the Aster DM network now encompasses more than 19,657 employees( Doctors, Nurses, Others) with JCI accredited clinics and diagnostic centres. Never content to rest on its laurels, Aster DM Healthcare is constantly seeking opportunities to set new yardsticks with advanced developments. With many more innovative and ambitious initiatives, Aster DM Healthcare has radically catalyzed the healthcare revolution across Middle East & India. Each of the Group’s verticals is a symbol of distinction, driven by the commitment to build a healthier tomorrow and to take healthcare to the next level of excellence.

وظائف ذات صلة