The Coding Technician II is primarily responsible for the accurate assignment of diagnosis and procedure codes following established coding guidelines and abstracting appropriate data for reporting from inpatient, day surgery, and observation accounts. This position supports the activities of the Revenue Cycle Management (RCM) Department.
Responsibilities
PRIMARY DUTIES AND RESPONSIBILITIES
- Reviews documentation in the electronic medical record (EMR) of inpatient (IP), day surgery (SDS), and observation (OBS) accounts and applies the appropriate guidelines for assignment of diagnosis and procedure codes.
- Appropriately applies AHA Official Coding Guidelines and HAAD Coding Guidelines for coding of inpatient and Assigns the correct ICD-9-CM/ICD-10-CM principal diagnosis code for inpatient and observation accounts and pre-operative/post-operative diagnoses for SDS accounts.
- Identifies comorbid conditions documented by the physician and assigns the appropriate ICD-9-CM/ICD-10-CM diagnosis codes for the condition.
- Assigns the appropriate Current Procedural Terminology (CPT) principal procedure code(s) for day surgery, observation, and inpatient accounts.
- Reviews documentation in the EMR and assigns the appropriate Evaluation and Management (E&M) code for physician services performed in the inpatient and observation units.
- Correctly groups the IR-DRG of inpatient discharges.
- Abstracts required demographic, statistical, and medical information from each patient record.
- Maintains established productivity measures for the coding of inpatient, day surgery, and observation accounts.
- Coordinates with Patient Access Services (PAS), Patient Financial Service (PFS), and Case Management to provide appropriate diagnosis and procedure codes and grouped IR-DRGs for obtaining authorizations of healthcare services from contracted insurance companies.
- Appropriately queries the clinician when documentation is incomplete or ambiguous.
- Identifies both electronic and hard copy reference materials appropriately and efficiently to facilitate the accuracy, consistency and specificity of code assignment.
- Coordinates with the Clinical Documentation Specialist (CDS) on issues related to documentation.
- Maintains confidentiality of the patient’s confidential health information (CHI) in both electronic and paper formats.
- Participates in the development of internal education programs by identifying key areas for improvement in documentation for appropriate code assignment and maintains a record of all programs.
- Performs other duties and participates in special projects as assigned by the HIMS Management team.
Experience Requirements
- Minimum 3 years’ experience in a Health Information Management (HIMS) or Medical Records Department preferred.
- Minimum 2 years’ experience in clinical coding.
- Knowledge of Microsoft Excel and Microsoft Word.
- Good verbal and written English language skills.
Qualifications
EDUCATION REQUIREMENTS
- Minimum Associates of Science in Health Information Technology or Healthcare Management.
- Graduate of a recognized clinical coding program preferred.
- Certified Coding Specialist (CCS) credential preferred but Certified Coding Associate (CCA) will be considered with
About Us
Cleveland Clinic Abu Dhabi is a unique and unparalleled extension of US-based Cleveland Clinic’s model of care, specifically designed to address a range of complex and critical care requirements unique to the residents and communities of the United Arab Emirates. Cleveland Clinic Abu Dhabi is composed of 15 institutes designed to put Patients First and align with the region’s specific healthcare needs. In all, more than 50 medical and surgical specialties are represented at Cleveland Clinic Abu Dhabi and are integrated to offer coordinated, multidisciplinary care for adult patients.
The facilities at Cleveland Clinic Abu Dhabi combine state-of-the-art amenities and world-class service standards. The hospital is a 364 (expandable to 490) bed facility, with five clinical floors, three diagnostic and treatment levels, and 13 floors of critical and acute inpatient units. It is a physician-led medical facility served by Western-trained, North American/European board certified (or equivalent) physicians, licensed by the Department of Health - Abu Dhabi. Cleveland Clinic Abu Dhabi provides patients in the region direct access to the world’s best healthcare providers and Cleveland Clinic’s unique model of care, reducing their need to travel abroad for treatment.
Job Info
- Job Identification 188
- Posting Date 12/19/2025, 06:37 AM
- Apply Before 01/02/2026, 06:37 AM
- Locations 59 Hamouda Bin Ali Al Dhaheri St , Abu Dhabi, 112412, AE