Description

Job Description

PHCC has a vision to be the leader in transforming the health and wellbeing of people’s lives in Qatar. PHCC’s mission is to deliver comprehensive, integrated and coordinated person-centered health care services in the community through focusing on disease prevention, healthy lifestyles and wellness. In partnership with our stakeholders, we will improve the health and wellbeing of our population.

The incumbent will be responsible to extract accurate medical data, and assign them appropriate codes, for reimbursement, easy storage, analysis of health data, and research purposes.

Key Accountabilities & Duties:

• Obtain accurate clinical information from medical records and assign appropriate clinical codes.
• Utilize technical coding principles to allocate codes for diagnosis, treatments, and operations relevant to patients’ current period of care.
• Enter codes onto PHCC’s encoder and abstracting systems and identify outpatient reimbursement.
• Adhere to coding principles, standards, and guidelines set by the Supreme Council of Health.
• Assess coding procedures to ensure constant improvement in ICD-10 am/CPT-4 coding.
• Perform regular quality assessments to ensure valid coding procedures and accurate collection of health information and data.
• Analyze various types of medical bills, determine chargeable items, and enter data into billing system.
• Identify inappropriate billing practices and errors such as duplicate billing, undocumented services, and mathematical errors.
• Demonstrate proactive approach to patient safety by thinking what might go wrong in all undertakings and take necessary measures to prevent them from happening.
• Identify and report potential or actual patient safety concerns, errors and/or near misses in timely manner.
• Follow patient safety-related policies, procedures and protocols.
• Partner with line manager to understand risks in the area of work, develop a plan on how to mitigate those risks, and develop shared accountability for implementing and evaluating the plan.
• Consult and communicate with relevant medical physicians to clarify inconsistent, doubtful, and non-specific information in medical records.
• Ensure high standards of confidentiality to safeguard any sensitive information.
• The incumbent will undertake any such related duties or responsibilities as directed.

Minimum Job Requirements:

Education Requirements: Bachelor’s Degree in health information management/a health care field / Science stream or a related stream.

Certification, license or training Requirements: Clinical Coding Certifications from AHIMA/ AAPC/HIMAA (CCA, CCS, CCS-P, CPC)

Experience & Knowledge: Minimum 3 years of experience in the Health Information Management field.