Medical Coder

GluCare; Dubai; On-site; AED 60,000 - 90,000; Full time

Job summary

GluCare in the UAE seeks a Medical Coder to ensure accurate CPT/ICD/HCPCS coding for outpatient encounters, support timely claim submissions, and reduce denials.

You will maintain audit-ready documentation, adhere to DHA regulations, and collaborate with clinicians and insurers to resolve coding questions and ensure appropriate reimbursement.

Candidates should have CPC, a relevant bachelor's, and at least 2 years of UAE experience in outpatient settings.

Qualifications

• Certified Professional Coder credential.
• Bachelor's degree in Health Information Management, Nursing, or related field.
• Strong knowledge of DHA regulations and UAE payer rules.
• Minimum 2 years of coding and denial management experience in the UAE.
• Proficiency in EHR systems, coding tools, and MS Office.

Responsibilities

• Review patient records to ensure coding reflects medical necessity and is compliant.
• Clarify incomplete documentation with clinicians to support billed services.
• Apply payer-specific coding guidelines and bundling rules.
• Assist audits, denial management, and educate providers on documentation and reimbursement.
• Submit clean claims within defined turnaround times and resubmit denials with justification.

Skills

Attention to detail

Analytical skills

Effective communication

Education

Bachelor's degree in Health Information Management or related field

Certified Professional Coder credential

Tools

EHR systems

Coding tools

Microsoft Office

Job description

Description

Role Overview

The Medical Coder should ensure accurate clinical coding and timely claim submissions/resubmission. You protect revenue by reducing coding errors preventing denials and securing appropriate reimbursement. You ensure compliance with DHA regulations and payer requirements.

Key Objectives

Operational Accuracy

• Ensure precise CPT ICD and HCPCS coding for all outpatient encounters.
• Maintain zero tolerance for upcoding undercoding or unbundling.

Revenue Protection

• Achieve less than 5 percent denial rate related to coding errors.
• Ensure submissions/resubmission are completed within payer timelines.

Compliance

• Maintain audit ready coding documentation.
• Ensure adherence to DHA regulations and UAE payer policies.

Core Responsibilities

Clinical Coding

• Review patient medical records including physician notes test results charge tickets and other documentation from outpatient encounters.
• Ensure coding reflects medical necessity and supports billed services.
• Clarify incomplete or ambiguous documentation with clinicians.
• Apply payer specific coding guidelines and bundling rules.
• Assist with audits denial management education to providers on documentation best practices and reimbursement questions.
• Submission of Clean claims to insurance within the defined TAT.
• Resubmission of partially rejected claims with justification within defined TAT time.

Denial Analysis and Resubmissions

• Review rejected and denied claims to identify root causes.
• Correct coding errors and prepare compliant resubmissions; Draft appeal letters with clinical justification and supporting documents Track resubmission outcomes and escalates unresolved cases.

Documentation Integrity

• Ensure clinical notes diagnostic reports and orders support coded services.
• Validate alignment between coding authorization and billed services.
• Maintain organized digital records of denials corrections and appeals.

Payer and TPA Coordination

• Liaise with insurance companies and TPAs to clarify denial reasons.
• Communicate resubmission status to billing approvals team and management.
• Monitor payer policy updates and adjust coding practices accordingly.

Systems and Reporting

• Use HIS EclaimLink and payer portals to manage coding edits and resubmissions.
• Recommend process improvements to reduce recurring denials.

Requirements

• Certified Professional Coder credential.
• Bachelors degree in Health Information Management Nursing or related field.
• Strong knowledge of DHA regulations and UAE payer rules.
• Minimum 2 years of coding and denial management experience in the UAE.
• Proficiency in EHR systems coding tools and Microsoft Office.
• Strong analytical skills and attention to detail.
• Effective communication with clinical billing and insurance teams.
• Experience in outpatient clinics or specialty centers preferably endocrinology or metabolic care.

Required Experience:

IC