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 manage medical coding for home-based services. The candidate will assign ICD and CPT codes, coordinate with insurance companies, and ensure compliance with regulatory standards. A Bachelor's degree and certification from CPC or CCS are mandatory. This is a full-time, on-site position.

Qualifications

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

Responsibilities

• Assign ICD and CPT codes to Homecare and Outpatient centers.
• Coordinate with insurance companies for approvals.
• Manage rejections and resubmit E-claims.
• Prepare Jawadha audit documents and track accordingly.

Skills

ICD coding

CPT coding

Communication skills

Insurance processes

Documentation improvement

Education

Bachelor's degree in related field

Bachelor's degree in medical-related field

Job description

Senior Medical Coder who can review, analyze, and accurately assign 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 patient care documentation and billing cycles.

Key Responsibilities:

• Assign ICD and CPT codes to Homecare and Outpatient centers.
• Coordinate with insurance companies for approvals.
• Handle insurance clarifications and report details promptly.
• Manage rejections and resubmit E-claims.
• Communicate documentation improvement opportunities and coding issues to relevant personnel.
• Submit all claims at the end of the day for outpatient services.
• Bill and submit Homecare claims weekly without delay.
• Communicate with coworkers regarding pre-approval documents and track expiring homecare approvals.
• Query physicians for clarification when documentation is inadequate, ambiguous, or unclear for coding purposes.
• Prepare and maintain documents according to Tasneef and Abu Dhabi insurance coding guidelines.
• Prepare Jawadha audit documents and track accordingly.
• Support management with other Revenue Cycle Management (RCM) tasks as needed.
• Manage denials by resubmitting claims rejected by insurance, with appropriate corrections and detailed explanations per coding guidelines and insurance-specific 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.
• At least 2 years of experience as a medical coder.
• Advanced understanding of medical terminology and administrative processes.

Remote Work: No

Employment Type: Full-time