Medical Coder/ Receptionist

Ability Pediatric Rehabilitation Center Abu Dhabi provides evidence-based early intervention, ABA therapy, learning-support-assistance services, speech & language, and psychology for children and young adults in the UAE with developmental difficulties of all kinds. Our treatments target functional communication, self-help, independent living skills, pre-academic readiness, and vocational productivity - thus supporting full community acceptance and inclusion.

• Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
• Reading and analyzing patient records.
• Would be flexible working at Receptionist on managing the insurance and claims as well
• Interacting with physicians and assistants to ensure accuracy.
• Score medical condition and services for new and established patients.
• Follow up with insurance company regarding required reports or information.
• Determining the correct codes for patient records
• Prepare all reports and documents required by insurance company to grant pre-approval as (collection and arrange the reports, face to face, consent form, license of nurses, physiotherapy & Doctor, nursing care plan, physiotherapy plan and assessment, Scoring grid)
• Entering and coding patient services into a Daman Insurance system and generating approval letter for provided services.
• Submit claims to insurance and follow up to see if a claim is accepted or denied.
• Handles insurance claims, and follow-up rejected claims.
• Reviewing and appealing denied and unpaid claims.
• Process payments from insurance companies.
• Working directly with the insurance company, the patient, and the medical staff, to get a claim processed and ultimately paid.
• Provides information to patients and health care team by answering questions and requests.
• Filing and proper documentation of patients’ file
• Keeping track of patient data over multiple visits.
• Keeping track of patients hospital admission, ER visits and discharges
• Maintains documentation of patient care services by auditing patient and department records.
• Arrange patient’s files and records.
• Internal audit of PMS’s home healthcare documentations.
• Prepare and submit JAWDA KPI report.
• Collect and save all KPI reports.
• Maintaining patient confidentiality and information security
• Perform Coding Audit (Tasneef) and prepare all documents required for it.
• Ensuring compliance with DOH and TASNEEF quality standards
• Ensuring compliance with DAMAN requirements and standards
• Participates in policy making and decision making in relation to PMS’s Rehab Center billing and coding practices

Bachelor's degree in related field preferred

Bachelor's degree in medical related (Nursing, Physician, Physiotherapy )

Mandatory Certification from CPC or CCS by AHIMA

2+ years’ experience as a medical coder

Advanced understanding of medical terminology and administration processes.