Clinical Coding Specialist – Audit, Compliance & Denials

Sheikh Shakhbout Medical City; Abu Dhabi; On-site; AED 120,000 - 180,000; Full time

Job summary

Sheikh Shakhbout Medical City in Abu Dhabi seeks a Clinical Coder to review medical records and translate documentation into accurate diagnostic and procedure codes. You will ensure complete data for coding and support pre-authorization coding needs.

The role requires expertise in E/M coding, coding guidelines, and payer compliance, with collaboration across clinicians, coders, and billing teams to optimize revenue integrity.

Qualifications

• Bachelor's degree in Health Information Management or related field with 3 years of healthcare experience.
• Master's degree or equivalent in Health Information Management or related field preferred.
• Diploma in a relevant field may be considered with appropriate experience.

Responsibilities

• Review clinical information from medical records and translate into diagnostic and operative procedure codes.
• Review patient records to ensure data availability for coding.
• Abstract and assign relevant codes for medical records.
• Assign codes for pre-authorization purposes.
• Review and assign E/M codes based on clinician documentation to ensure proper reimbursement.
• Query physicians when documentation is unclear or codes are not straightforward.
• Request additional documentation from departments or clinics as needed.
• Ensure coding follows established principles and guidelines.
• Allocate codes from indexing systems and prepare coding summaries.
• Audit medical claims for accuracy and regulatory compliance.
• Identify billing discrepancies and support process improvements.
• Assist with medical record preparation for QA and audits.
• Report coding defaulters per facility policy.
• Confirm codes for resubmissions or denials due to coding errors.
• Collaborate with coders, billers, physicians and operations teams.

Skills

Medical coding

Clinical documentation

Auditing

Querying physicians

Payer/compliance

Collaboration

Education

Bachelor's degree in Health Information Management or related field

Diploma in Health Information Management or related field

Master's degree in Health Information Management or related field

Job description

Sheikh Shakhbout Medical City in Abu Dhabi seeks a Clinical Coder to review medical records and translate documentation into accurate diagnostic and procedure codes. You will ensure complete data for coding and support pre-authorization coding needs.

The role requires expertise in E/M coding, coding guidelines, and payer compliance, with collaboration across clinicians, coders, and billing teams to optimize revenue integrity.