1 Medical Terminology jobs in Saudi Arabia
Medical Coder - Medical Coding Documentation
Posted 12 days ago
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Job Description
Join us to apply for the Medical Coder - Medical Coding Documentation role at SANTECHTURE .
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This role involves reviewing and analyzing market payer and regulator protocols, reviewing medical records to abstract relevant data, and creating rules to ensure appropriate coding in accordance with the Saudi clinical coding system and standards. The role supports billing integrity and best practices by working closely with payers, regulators, and healthcare providers to resolve coding and billing issues, investigate incidents, and ensure compliance with regulatory policies in Saudi Arabia.
Primary Responsibilities- Act as a subject matter expert within the KSA Rules unit for clinical coding queries related to the Saudi Billing System, CCHI Coding Standards, and Australian Coding Standards (ACS).
- Manage the integrity of the Rules engine by defining correct implementation procedures.
- Ensure accurate coding according to established principles and guidelines.
- Translate region-specific coding guidelines and local market practices into rule alerts by analyzing ICD-10-AM, ACHI, SBS codes, and drugs standards codes.
- Communicate via email with departments for rule requests, suggestions, and queries.
- Prepare crosswalks analyzing local market practices and remittance advices.
- Maintain and update the engine regularly based on coding standards and market practices.
- Minimum 2-5 years of experience as a Medical Coder in Saudi Arabia.
- Knowledge of Medical Billing within the private healthcare insurance sector.
- Recognized professional certification in Medical Coding is highly desirable.
- Experience working with insurance payers is preferred.
- Familiarity with KSA regulations such as CCHI, Health Council, and SEBAHI.
- Excellent communication and leadership skills.
- Proficiency in Healthcare Information Systems and Microsoft Office.
- Bi-lingual in Arabic and English is preferred.
- Medical training as a Doctor, Nurse, or Pharmacist is highly desirable.
- Seniority Level: Mid-Senior level
- Employment Type: Full-time
- Job Function: Healthcare Provider
- Industry: IT Services and IT Consulting
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