Senior Medical Coder

Pyramids Health; Abu Dhabi; On-site; AED 60,000 - 120,000; Full time

Job summary

A healthcare provider in Abu Dhabi is seeking a Senior Medical Coder to manage coding and billing for home-based medical services. Responsibilities include assigning medical codes, coordinating with insurance companies, and ensuring compliance with Abu Dhabi guidelines. The ideal candidate should have a Bachelor's degree in a related field and mandatory certification from CPC or CCS by AHIMA. Experience of at least 2 years in medical coding is required.

Qualifications

• Mandatory certification from CPC or CCS by AHIMA.
• Minimum 2 years’ experience as a medical coder.
• Advanced understanding of medical terminology and administrative processes.

Responsibilities

• Assign ICD and CPT codes to Homecare and Outpatient center.
• Coordinate with insurance companies for approvals.
• Submit all claims at the end of each day for outpatient services.
• Prepare Jawadha audit documents and track accordingly.

Skills

Medical coding

Communication

Insurance coordination

Attention to detail

Education

Bachelor's degree in a related field

Bachelor's degree in a medical-related field (Nursing, Physician, Physiotherapy)

Job description

Job Description

Senior Medical Coder who can review, analyze, and accurately assign standardized medical codes (e.g., ICD-9 / 10–CM, 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 :

1. Assign ICD and CPT codes to Homecare and Outpatient center.
2. Coordinate with insurance companies for approvals.
3. Handle insurance clarifications and report details promptly.
4. Manage rejections and resubmit E-claims.
5. Communicate documentation improvement opportunities and coding issues to relevant personnel.
6. Submit all claims at the end of each day for outpatient services.
7. Bill and submit Homecare claims weekly without missing deadlines.
8. Communicate with co-workers for pre-approval documents and track approval expiry cases.
9. Query physicians for clarification when documentation is inadequate or unclear for coding.
10. Prepare and maintain documents according to TASNEEF and Abu Dhabi insurance coding guidelines.
11. Prepare Jawadha audit documents and track accordingly.
12. Support management on other RCM-related tasks.
13. Manage denials by resubmitting claims with appropriate corrections and detailed explanations, following coding guidelines and insurance rules.

Qualifications

• Bachelor's degree in a related field preferred.
• Bachelor's degree in a medical-related field (Nursing, Physician, Physiotherapy).

Additional Information

• Mandatory certification from CPC or CCS by AHIMA.
• Minimum 2 years’ experience as a medical coder.
• Advanced understanding of medical terminology and administrative processes.