Inpatient DRG Case Manager for Fast Adjudication

Sukoon Workplace Savings Solutions Limited; Dubai; On-site; AED 167,000 - 257,000; Full time

Job summary

Sukoon Workplace Savings Solutions Limited is conducting a DRG coding and inpatient case management role in the UAE. The successful candidate will review DRG codes, manage case severity levels, and coordinate with physicians and providers to ensure accurate DRG billing in line with insurance protocols.

The role requires excellent coding skills with 5+ years of DRG experience, strong English communication, and the ability to work under pressure in a dynamic UAE environment.

Qualifications

• Bachelor’s degree in medicine (MBBS) mandatory.
• Globally recognized coding qualification desirable.
• Insurance qualification/background essential in similar role.

Responsibilities

• Visit providers to manage inpatient cases; review DRG codes/severity levels.
• Coordinate with physicians/providers; ensure effective communication with providers.
• Negotiate costs with providers; ensure correct length of stay and DRG billing per insurance protocol.
• Ensure compliance with regulatory guidelines issued by regulatory bodies.
• Meet DRG Case Management targets; achieve 100% onsite visit compliance and ePAR adherence.
• Close case visit findings and adjudicate ePAR cases accurately.
• Prepare monthly analytical reports of DRG cases and billing.

Skills

Medical coding

IR-DRG

AP DRG

English proficiency

Education

MBBS

Coding certification

Insurance qualification

Tools

MS Excel

Job description

Sukoon Workplace Savings Solutions Limited is conducting a DRG coding and inpatient case management role in the UAE. The successful candidate will review DRG codes, manage case severity levels, and coordinate with physicians and providers to ensure accurate DRG billing in line with insurance protocols.

The role requires excellent coding skills with 5+ years of DRG experience, strong English communication, and the ability to work under pressure in a dynamic UAE environment.