Medical Coder
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Job Location:
Monthly Salary:
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Role Overview
The Medical Coder should ensure accurate clinical coding and timely claim submissions/resubmission. You protect revenue by reducing coding errors preventing denials and securing appropriate reimbursement. You ensure compliance with DHA regulations and payer requirements.
Key Objectives
Operational Accuracy
- Ensure precise CPT ICD and HCPCS coding for all outpatient encounters.
- Maintain zero tolerance for upcoding undercoding or unbundling.
Revenue Protection
- Achieve less than 5 percent denial rate related to coding errors.
- Ensure submissions/resubmission are completed within payer timelines.
Compliance
- Maintain audit ready coding documentation.
- Ensure adherence to DHA regulations and UAE payer policies.
Core Responsibilities
Clinical Coding
- Review patient medical records including physician notes test results charge tickets and other documentation from outpatient encounters.
- Ensure coding reflects medical necessity and supports billed services.
- Clarify incomplete or ambiguous documentation with clinicians.
- Apply payer specific coding guidelines and bundling rules.
- Assist with audits denial management education to providers on documentation best practices and reimbursement questions.
- Submission of Clean claims to insurance within the defined TAT.
- Resubmission of partially rejected claims with justification within defined TAT time.
Denial Analysis and Resubmissions
- Review rejected and denied claims to identify root causes.
- Correct coding errors and prepare compliant resubmissions; Draft appeal letters with clinical justification and supporting documents Track resubmission outcomes and escalate unresolved cases.
Documentation Integrity
- Ensure clinical notes diagnostic reports and orders support coded services.
- Validate alignment between coding authorization and billed services.
- Maintain organized digital records of denials corrections and appeals.
Payer and TPA Coordination
- Liaise with insurance companies and TPAs to clarify denial reasons.
- Communicate resubmission status to billing approvals team and management.
- Monitor payer policy updates and adjust coding practices accordingly.
Systems and Reporting
- Use HIS EclaimLink and payer portals to manage coding edits and resubmissions.
- Recommend process improvements to reduce recurring denials.
Requirements
- Certified Professional Coder credential.
- Bachelors degree in Health Information Management Nursing or related field.
- Strong knowledge of DHA regulations and UAE payer rules.
- Minimum 2 years of coding and denial management experience in the UAE.
- Proficiency in EHR systems coding tools and Microsoft Office.
- Strong analytical skills and attention to detail.
- Effective communication with clinical billing and insurance teams.
- Experience in outpatient clinics or specialty centers preferably endocrinology or metabolic care.
Required Experience:
IC
About Company
A diagnosis of diabetes is life-changing. But with the right care and support system, people can thrive with diabetes. At GluCare.Health we offer patients the best possible care — through a team of clinicians, skilled health educators, and access to cutting edge technology that makes ... View more
