Medical Coder

About GluCare

GluCare is a leading healthcare clinic that specializes in comprehensive diabetes care. Our mission is to improve the lives of people living with diabetes through innovative technology and compassionate care. We leverage the latest advancements in wearables, IoT devices, machine learning, and artificial intelligence to empower our clinicians and provide personalized and data-driven coaching to our patients.

Job summary:

We are seeking an experienced Medical Coder to join our healthcare team in GluCare. The ideal candidate will have a strong background in medical coding, with specific expertise in handling preapprovals, invoicing, submissions, and resubmissions. The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies, and optimizing the revenue cycle management process.

Key Responsibilities:

• Medical Coding:
• Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes.
• Ensure that all coding meets regulatory and insurance requirements.
• Preapprovals:
• Handle the submission and follow-up of preapproval requests for medical procedures and treatments with insurance companies.
• Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals.
• Invoicing:
• Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information.
• Collaborate with the finance department to ensure timely and accurate billing.
• Submissions and Resubmissions:
• Submit medical claims to insurance companies and follow up on the status of submitted claims.
• Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment.
• Communicate with insurance companies to resolve any discrepancies or issues related to claims.
• Compliance:
• Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations.
• Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements.
• Documentation:
• Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities.
• Generate reports on coding and billing activities for internal review and analysis.

Understand, follow and support all hospital infection control programs.