Senior Medical Coder

Ghobash Group; Abu Dhabi; On-site; AED 60,000 - 120,000; Full time

Job summary

A healthcare services provider in Abu Dhabi is seeking a Senior Medical Coder to ensure accurate assignment of medical codes for home-based services, overseeing compliance and documentation. The ideal candidate will have a Bachelor's degree in a related field, hold mandatory CPC or CCS certification, and possess at least 2 years of coding experience. This full-time position emphasizes attention to detail and communication skills in a structured healthcare environment.

Qualifications

• 2 years of experience as a medical coder is required.
• Mandatory Certification from CPC or CCS by AHIMA.
• Advanced understanding of medical terminology and administration processes.

Responsibilities

• Assign ICD and CPT codes to Homecare and Outpatient center.
• Coordinate with insurance company for approvals.
• Handle insurance clarifications and report details timely.
• Submit all claims for outpatient billing daily.
• Query physician for clarification on coding documentation.

Skills

Medical coding

ICD-9/10CM knowledge

CPT coding

Attention to detail

Communication skills

Education

Bachelor's degree in a related field

Bachelor's degree in a medical-related field

Job description

Senior Medical Coder who can reviews analyzes and accurately assigns standardized medical codes (e.g. ICD-9/10CM CPT HCPCS DRG) for home-based medical services. This ensures proper reimbursement regulatory compliance and coding integrity across the patient care documentation and billing cycle.

Key Responsibilities

• Assigning ICD and CPT codes to Homecare and Outpatient center.
• Coordinate with insurance company for approvals.
• Responsible for handling the insurance clarifications and reporting the details to the insurance on timely basis.
• Handling Rejections and Resubmitting the E claims
• Communicating documentation improvement opportunities and coding issues to appropriate personnel
• Submission to all claims at the end of the day for outpatient Billing and submission of Homecare claims on every week without missing
• Communicating with coworkers for Preapproval documents and tracking the approval homecare approval expires cases.
• Query physician for clarification when documentation is inadequate ambiguous or unclear for coding purposes.
• TASNEEF and Abu dhabi insurance coding guidelines prepared and maintained all documents accordingly.
• Preparing Jawadha audit documents and tracking accordingly
• Providing support to management if any other RCM related
• Denial Management Resubmitted the claims either rejected from insurance appropriate correction with detailed explanation as per the general coding guidelines and insurance specific rules.

Qualifications

• Bachelors degree in related field preferred
• Bachelors degree in medical related (Nursing Physician Physiotherapy )

Additional Information

• Mandatory Certification from CPC or CCS by AHIMA
• 2 years experience as a medical coder
• Advanced understanding of medical terminology and administration processes.

Remote Work

No

Employment Type

Full-time