Clinical Documentation & Coding Lead

NMC Group; Al Ain; On-site; AED 180,000 - 240,000; Full time

Job summary

NMCSH Al Ain seeks a Medical Coding & Documentation Specialist to lead the accuracy of clinical records and ensure coding aligns with medical necessity. You will drive audits, educate departments, and support revenue cycle management.

The role requires strong experience in coding, billing, auditing, and EMR/HIS systems within a hospital setting. Responsibilities include improving documentation quality and reducing denials.

Qualifications

• Medical or Allied Health graduate required.
• Strong knowledge of medical coding, billing, clinical auditing, insurance approvals and revenue cycle management.
• Auditing certification or formal audit training is preferred.

Responsibilities

• 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 E&M documentation guidelines.
• Ensure accurate coding of all services to prevent down-coding and revenue leakage.
• 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.

Skills

Medical coding

Billing accuracy

Auditing

Leadership

Communication

EMR/HIS proficiency

Education

Medical or Allied Health graduate

Tools

EMR/HIS systems

Job description

NMCSH Al Ain seeks a Medical Coding & Documentation Specialist to lead the accuracy of clinical records and ensure coding aligns with medical necessity. You will drive audits, educate departments, and support revenue cycle management.

The role requires strong experience in coding, billing, auditing, and EMR/HIS systems within a hospital setting. Responsibilities include improving documentation quality and reducing denials.