Inpatient Preauthorization Coder

Cigna; Dubai; On-site; AED 180,000 - 300,000; Full time

Job summary

NAS Neuron Heath Services LLC is seeking an Inpatient Preauthorization Coder to review and assign ICD-10-CM/ICD-10-PCS and DRG codes for inpatient admissions in accordance with UAE DHA/HAAD/MOH regulations and payer policies.

The role supports medical necessity determinations, facilitates timely preauthorization decisions, and aims to minimize claim denials for the TPA. Strong CPT/HCPCS knowledge and 3+ years of UAE coding experience are preferred.

Qualifications

• Bachelor’s degree in nursing or allied health preferred.
• Mandatory CPC-Certified Professional Coder; CIC and CCS advantageous.
• 3+ years of inpatient coding experience, preferably in UAE.
• Familiarity with UAE insurance preauthorization workflows.

Responsibilities

• Review and assign ICD-10-CM/ICD-10-PCS and DRG codes for inpatient admissions.
• Perform preauthorization reviews against UAE payer policies and resolve documentation gaps.
• Ensure compliance with DHA/HAAD/MOH regulations and maintain audit-ready records.
• Coordinate with hospitals, physicians and insurance companies to resolve disputes.

Skills

Inpatient coding

Medical records review

Coding accuracy

Communication skills

Education

Bachelor's degree in nursing/Allied Health

Tools

CPT/HCPCS Level II knowledge

DRG-based reimbursement

Job description

JOB PURPOSE

The Inpatient Preauthorization Coder is responsible for reviewing and accurately assigning ICD-10-CM ICD-10-PCS and DRG codes for inpatient admissions in compliance with UAE health authority regulations DHA HAAD MOH and insurance payer policies. This role ensures medical necessity for hospitalizations, facilitates timely preauthorization decisions and minimizes claim denials for the Third-Party Administrator TPA.

RESPONSIBILITIES AND DUTIES

Coding & Clinical Review: Assign and validate ICD-10-CM ICD-10-PCS and DRG codes for inpatient admissions based on medical records. Strong knowledge of CPT and HCPCS Level II codes. Ensure coding aligns with DHA HAAD MOH coding standards and supports medical necessity.

Preauthorization & Utilization Management Review: Review inpatient preauthorization requests against UAE payer policies. Collaborate with providers to clarify documentation gaps affecting authorization and coding. Identify potential utilization trends and areas of fraud waste and abuse.

Compliance & Regulatory Adherence: Ensure compliance with UAE health insurance laws DHA HAAD MOH regulations. Maintain audit-ready records. Stay updated on UAE coding updates insurance circulars and mandatory reporting requirements.

Communication & Stakeholder Coordination: Liaise with hospitals physicians and insurance companies to resolve coding or authorization disputes. Provide feedback to providers on common coding errors leading to rejections.

Communications and Working Relationships: The job holder interacts with all Departments within NNHS and other service providers. He/she must ensure seamless communication between all departments for the smooth operations and to achieve the organizational objective. He/she must be able to foster strong internal & external communication standards.

NAS Neuron Heath Services LLC is an equal opportunity employer.

KNOWLEDGE, SKILLS AND EXPERIENCE

Education: Bachelor’s degree in nursing, Allied Health Sciences or a related field (preferred).

Certifications: Mandatory CPC- Certified Professional Coder, having CIC -Certified Inpatient Coder, CCS -Certified Coding Specialist is an advantage.

Experience: 3 years of inpatient coding experience, preferably in a UAE hospital, insurance company or TPA.

Familiarity with UAE insurance preauthorization workflows.

Skills: Strong knowledge of DRG-based reimbursement and UAE insurance policies. Ability to interpret medical records. High accuracy in coding (target: 95% audit compliance). Willingness to work in shifts.

OPERATING ENVIRONMENT

The Jobholder's working hours are flexible as per weekly schedule within the boundaries of the UAE labor law. The job holder is not exposed to any obvious hazards. He/she works in an air‑conditioned environment and spends most of the day at desk.

DISCLAIMER

I hereby confirm that I have read the general outline of duties and responsibilities expected of me and I hereby confirm readiness and acceptance. Signature: _______________________ Name of Employee _______________________ Date: ____________

BIO / SUMMARY

Bachelor’s degree in nursing, Allied Health Sciences or a related field (preferred). Certifications: Mandatory CPC‑Certified Professional Coder, having CIC‑Certified Inpatient Coder, CCS‑Certified Coding Specialist is an advantage. Experience: 3+ years of inpatient coding experience, preferably in a UAE hospital, insurance company, or TPA. Familiarity with UAE insurance preauthorization workflows. Skills: Strong knowledge of DRG-based reimbursement and UAE insurance policies. Ability to interpret medical records. High accuracy in coding (target: 95% audit compliance). Willingness to work in shifts.