Senior Associate - Insurance

Job description / Role

- Perform ICD - 10CM, CPT and other coding for patient diseases.
- Perform highly technical and specialized medical coding functions for the Vertical and DHA Authority
- Review, Analyse, and code diagnostic and procedural information that determine almost near without errors.
- Ensures compliance with established coding guidelines, DHA policies, regulation and JCI accreditation guidelines.
- Maintain knowledge of anatomy, physiology and medical terminology commensurate with
- Ability to correctly code provider services and diagnoses.
- Check and prepare all Quantitative analysis
- Perform a comprehensive review for the record to assure the presence of all component parts such as: patient and record presence of all reports which appear to be indicated by the nature of the treatment rendered before you code.

Requirements

- Review the medical records for compliance with established guideline (WHO Latest Issues) before you final code.
- Evaluate submission errors, coding errors and address it to the concerned team.
- Maintain claims files in respective storage
- Efficient handling of Claims submissions in a time bound manner
- Achieve daily targets in claims submissions processing
- Process claims efficiently so as to avoid rejections.

Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, clinics and pharmacies. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: "We'll treat you well." We reach out to all economic segments in the GCC countries through our differentiated healthcare services across the "Aster", "Medcare" and "Access" brands.

About the Company

From a single medical centre to a performance-driven healthcare enterprise spread across more than 366 medical establishments, including 27 hospitals, 115 clinics and 223 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.