Medical Coder

Prime Healthcare Group; Dubai; On-site; AED 89,000 - 134,000; Full time

Job summary

Prime Healthcare Group in Dubai is seeking a billing and coding specialist to support accurate clinical documentation and compliant medical coding of patient records. The role focuses on minimizing denials by ensuring documentation aligns with DHA guidelines and payer requirements.

You will also coordinate authorizations and monitor claim submissions. The ideal candidate will analyze coded data to prepare facility reports, review bills for accuracy, and follow up on unpaid claims while ensuring

Qualifications

• Experience in clinical coding and medical documentation.
• Familiarity with DHA guidelines and regulations.
• Ability to prepare analytics reports from coded data.
• Experience obtaining insurance authorizations for procedures.

Responsibilities

• Coordinate with physicians for accurate clinical documentation and minimize denials.
• Provide feedback regarding coding errors and oversight.
• Coordinate with Insurance team for pre-authorization before billing.
• Abstract information from health records to identify complications and comorbidities.
• Ensure timely submission of medical claims to insurance companies.
• Review patient bills for accuracy and follow up on unpaid claims.
• Check insurance payment accuracy and contract adherence.

Skills

Clinical documentation

Medical coding

Insurance authorization

Data analysis

Billing accuracy

Regulatory compliance

Job description

Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimize denials.

Provides feedback regarding coding errors and oversight.

Coordinates with the Insurance team for procedures that may need authorization prior to billing.

Abstracts necessary information from health records to identify secondary complications and co-morbid conditions.

Ensures coding is following DHA guidelines and regulations.

Prepare statistical and analytical reports of coded data for facility administration and improvements.

Ensures timely submission of medical claims to insurance companies by obtaining referrals and pre-authorization.

Reviewing patients bills for accuracy.

Following up with unpaid claims within standard billing cycle time frame.

Checking insurance payment for accuracy and compliance with any contract discount.