Senior Medical Coder – Outpatient Claims Expert

Modern Pharmaceutical LLC; Sharjah; On-site; AED 201,000 - 335,000; Full time

Job summary

Modern Pharmaceutical LLC seeks an experienced Insurance Medical Coder based in Sharjah to support outpatient services by coding medical records accurately in line with UAE guidelines. You will collaborate with physicians, billing, and insurance teams to maximize revenue cycle efficiency and reduce claim rejections.

The role requires 5–7 years of UAE outpatient coding experience, CPC certification, and strong knowledge of CPT/ ICD-10/ HCPCS, with proficiency in EMR/HIS and Microsoft Office.

Qualifications

• Bachelor's degree in medical/healthcare field required.
• CPC certification or equivalent (AAPC/AHIMA) required.
• 5–7 years UAE outpatient coding experience in medical centers/day care settings.
• Proficient in CPT, ICD-10, HCPCS coding.
• Familiarity with DHA/MOH/DOH regulations and payer portals.
• Proficient in Microsoft Office and EMR/HIS systems.

Responsibilities

• Ensure 100% claim submission within the specified time frame.
• Review outpatient documentation and assign accurate CPT, ICD-10, HCPCS codes.
• Ensure coding accuracy and compliance with DHA/MOH/DOH regulations and payer rules.
• Validate approvals, coverage policies, and coding requirements before submission.
• Cross-check codes with physician notes for consistency.
• Collaborate with doctors and staff to obtain missing information.
• Support billing in resolving denials due to coding discrepancies.
• Keep updated with insurance guidelines and payer circulars.
• Generate coding audit reports to ensure accuracy.
• Assist in audits and pre-insurance assessments.
• Aim for zero-rated rejections on submitted claims.
• Coordinate with claims processing for timely submissions and resubmissions.
• Complete recon resubmission and closure with insurers.
• Maintain professional communications with customers and respond per guidelines.
• Participate in ongoing training to improve workflows.

Skills

CPC certification

Outpatient coding

CPT/ ICD-10/ HCPCS

UAE experience

Attention to detail

Communication

Teamwork

Education

Bachelor’s Degree in medical/healthcare field

Tools

Microsoft Office

EMR/HIS systems

Job description

Modern Pharmaceutical LLC seeks an experienced Insurance Medical Coder based in Sharjah to support outpatient services by coding medical records accurately in line with UAE guidelines. You will collaborate with physicians, billing, and insurance teams to maximize revenue cycle efficiency and reduce claim rejections.

The role requires 5–7 years of UAE outpatient coding experience, CPC certification, and strong knowledge of CPT/ ICD-10/ HCPCS, with proficiency in EMR/HIS and Microsoft Office.