Full-Time

Riyadh , Saudi Arabia
Posted 3 months ago

Negotiable SAR / Month
Salary: Negotiable

ACCUMED

We are the first, too the biggest organization in the Center East to give complete start to finish Income Cycle The board answers for the medical services area. Our vision is to be famous and regarded as the district's reference point in Income Cycle The executives for the medical services area.

Medical Coding Edits Specialist – Job Vacancy – Riyadh , Saudi Arabia

ACCUMED – Riyadh , Saudi Arabia

Job Location:- Riyadh , Saudi Arabia

Company:- ACCUMED
Education:- As Mentioned
Nationality:- Any Arab National, Egyptian

Gender:- Male / Female
Number of Vacant Positions:- 1 Vacancies
Salary:- Negotiable

Job Type:- As mentioned
Experience:- 2 – 5 Years

About ACCUMED

We are the first, too the biggest organization in the Center East to give complete start to finish Income Cycle The board answers for the medical services area. Our vision is to be famous and regarded as the district’s reference point in Income Cycle The executives for the medical services area.

Our main goal is to give medical care Income Cycle The executives to committed medical care associations by laying out re-appropriated charging administrations as the arrangement of decision, working mutually with public and confidential areas, empowering and embracing inventive advances and development.

We execute ISO Worldwide Norms pointed toward building and creating productive and powerful strategic approaches, regarding all regulations, responsibilities and adding to Saudi Vision 2030 in medical care area by Working on the quality and effectiveness of wellbeing administrations.

About Accumed

Job – Medical Coding Edits Specialist

Job Description:

Role Summary:

Health Insurance Medical Coding Specialist – Responsible for reviewing and analysing market payer and regulator protocols and review medical records in order to abstract relevant data to support the creation of rules to ensure appropriate codes are assigned in accordance with the Saudi clinical coding system and standards. THYNK Rules will support billing integrity and provide best practice support through working closely with payers, regulators, and healthcare providers revenue cycle departments to resolve coding/billing issues, Investigating and resolving issues and incidents leading to incompliance with regulatory policies or denials with payers in the market of Saudi Arabia.

Primary Responsibilities:

1. To act as a subject matter expert within the KSA Rules unit for all matters related to clinical coding queries under the Saudi Billing System, CCHI Coding Standards and Australian Coding Standards (ACS)

2. Manages integrity of Rules engine by defining the correct implementation of the

3. Ensures accurate coding as specified by established coding principles and guidelines.

4. Translation of region-based coding guidelines and local market practice into rule alerts by analysing ICD-10-AM (10th edition), ACHI and SBS codes (service codes) and drugs standards codes (HUMAN DRUGS LIST)

5. Email correspondence and troubleshoot with different departments for rule requests, suggestions, and queries.

6. Preparation of crosswalks analysing local market practice and Remittance advices.

7. Timely maintenance and scrubbing of engine as per coding and local market practice

Job Qualifications:

1. Minimum 2-5 years’ experience as a Medical Coder in the Kingdom of Saudi Arabia

2. Medical Billing knowledge within private healthcare insurance sector required

3. Recognised Professional Certification in Medical Coding highly desirable

4. Candidate with past working experience with insurance payers background will be preferred

5. Should be well versed KSA local market regulations like CCHI, Health Council and SEBAHI

6. Excellent verbal/written communication and leadership skills

7. Proficiency in Healthcare Information Systems and Microsoft Office (Word, Excel, PowerPoint, etc.)

8. Bi-lingual Arabic/English preferred

9. Medical training as Doctor/Nurse/Pharmacist is highly desirable

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To apply for this job email your details to rcmcareers@accumed.ae

About The Author

Mohamed Firnas

“🌟 Meet Mohamed Firnas: With over two decades of experience in HR, Mohamed is a trusted advisor known for his strategic insight and compassionate leadership style. He’s committed to creating workplaces where every voice is heard and valued. 💼 Passionate about nurturing talent and driving positive change. Join him on the journey towards building better organizations! #HRProfessional #GulfRegion #Leadership”

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