Case Manager

NMC GROUP SERVICES.; Al Ain; On-site; AED 70,000 - 100,000; Full time

Job summary

NMC Group Services in the United Arab Emirates seeks aSenior Clinical Documentation Coding and OSH leader to identify documentation gaps, liaise with physicians, and ensure compliant coding and safety management across NMC Al Ain facilities.

Responsibilities include enforcing OSH policies, leading audits, educating departments on best practices, and driving improvements in documentation quality and revenue cycle management.

Qualifications

• Medical or Allied Health graduate.
• Strong clinical training and healthcare background.
• Internationally recognised Medical Coding certification (e.g., CPC, CCS, CCS-P, CIC, COC, AHIMA or AAPC).
• Strong knowledge of medical coding, billing, clinical auditing, insurance approvals and revenue cycle management.
• Auditing certification or formal audit training is preferred.
• Minimum 5 years of clinical experience in a hospital setting.
• Minimum 2 years of supervisory or team leadership experience.
• Excellent analytical, problem-solving and communication skills.
• Proficient in EMR/HIS systems, medical documentation standards and coding guidelines (ICD, CPT/HCPCS, as applicable).
• Strong organisational skills with the ability to manage multiple priorities while maintaining accuracy and compliance.

Responsibilities

• Implement and comply with OSHAD-SF and NMC Al Ain Occupational Safety Health Management System OSHMS EHSMS policies procedures and SOPs.
• Report all hazards incidents accidents and near misses in accordance with the incident reporting protocol.
• Attend mandatory OSH EHS training and apply safe work practices.
• Take reasonable care of personal health and safety and that of others affected by work activities.
• Wear and maintain all required Personal Protective Equipment PPE.
• Protect hospital equipment and property from misuse or damage.
• Follow all safety instructions warning signs and emergency procedures.
• Adhere to all task-specific OSH EHS requirements.

Skills

Medical coding

Auditing

Communication

EMR/HIS

Problem solving

Analytical

Leadership

Education

Medical or Allied Health degree

Medical Coding certification

Auditing certification

Tools

EMR/HIS systems

ICD/CPT knowledge

Job description

Clinical Documentation Coding

Identify missing clinical documentation and liaise with attending physicians for timely completion Validate clinical evidence to ensure compliance with medical necessity requirements Ensure accurate documentation to support patient risk adjustment and optimal case mix Review outpatient medical records for compliance with current Evaluation Management E M documentation guidelines Ensure accurate coding of all services to prevent down-coding and revenue leakage

Claims Denial Management

Analyze the root causes of insurance claim rejections and denials Conduct random audits of medical records across departments to identify trends and documentation gaps Recommend corrective actions to minimize recurring claim denials Support billing optimization through accurate documentation and coding practices

Provider Education Quality Improvement

Educate physicians and clinical departments on documentation and coding best practices Develop and deliver training programmers to address recurring documentation and billing errors Promote appropriate resource utilization and reduction of unnecessary costs Provide continuous feedback to improve clinical documentation quality and coding accuracy

Occupational Safety Health OSH Responsibilities

Implement and comply with OSHAD-SF and NMC Al Ain Occupational Safety Health Management System OSHMS EHSMS policies procedures and SOPs Report all hazards incidents accidents and near misses in accordance with the incident reporting protocol Comply with all applicable OSHMS EHSMS policies standards and workplace procedures Attend mandatory OSH EHS training and apply safe work practices Take reasonable care of personal health and safety and that of others affected by work activities Wear and maintain all required Personal Protective Equipment PPE Protect hospital equipment and property from misuse or damage Follow all safety instructions warning signs and emergency procedures Adhere to all task‑specific OSH EHS requirements

General Responsibilities

Implement and comply with OSHAD-SF and NMC Al Ain Occupational Safety Health Management System OSHMS EHSMS policies procedures and SOPs Report all hazards incidents accidents and near misses in accordance with the incident reporting protocol Comply with all applicable OSHMS EHSMS policies standards and workplace procedures Attend mandatory OSH EHS training and apply safe work practices Take reasonable care of personal health and safety and that of others affected by work activities Wear and maintain all required Personal Protective Equipment PPE Protect hospital equipment and property from misuse or damage Follow all safety instructions warning signs and emergency procedures Adhere to all task‑specific OSH EHS requirements

Leadership Responsibilities

Lead the development implementation and continuous improvement of the Occupational Safety Health Management System Assume overall responsibility for Occupational Health Safety across all NMC Al Ain facilities Ensure adequate OSH resources including budget manpower and equipment Approve and support OSH EHS policies procedures programmers and annual plans Establish and maintain a clear Occupational Safety Health Policy and ensure it is reviewed annually

Qualifications

Medical or Allied Health graduate.Strong clinical training and healthcare background.Internationally recognised Medical Coding certification (e.g., CPC, CCS, CCS-P, CIC, COC, AHIMA or AAPC certification).Strong knowledge of medical coding, billing, clinical auditing, insurance approvals and revenue cycle management.Auditing certification or formal audit training is preferred.Minimum 5 years of clinical experience in a hospital setting.Minimum 2 years of supervisory or team leadership experience.Excellent analytical, problem‑solving and communication skills.Proficient in EMR/HIS systems, medical documentation standards and coding guidelines (ICD, CPT/HCPCS, as applicable).Strong organisational skills with the ability to manage multiple priorities while maintaining accuracy and compliance.