insurance coder

eServMD Pvt. Ltd.

At EservMD, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we&rsquo;re seeking an experienced medical coder to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coder mines and interprets patient medical records, transcriptions, test results, and other documentation, we&rsquo;ll rely on them to ask questions, connect the dots, and uncover information that may be difficult to find &mdash; all to ensure a smooth billing process. The medical coder will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth.Objectives of this role&middot; Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems&middot; Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results&middot; Develop and execute policies and procedures that affect immediate operations and may also have organization-wide impact&middot; Analyze issues in which the situation or data requires in-depth knowledge of organizational objectives&middot; Implement strategic policies by selecting methods and evaluation criteria for accurate resultsResponsibilities&middot; Gather physician background information from various resources for reporting purposes&middot; Analyze medical malpractice claims by identifying issues, events, diagnoses, and procedures that led to result&middot; Prepare summaries and assign the appropriate codes&middot; Review claims to formulate a synopsis of facts, and collaborate with claims examiners as needed. Make corrections to draft reports after physician review and submit approved reports to managers in a timely fashion&middot; Interact with claims staff, attorneys, and physicians regarding reportsRequired skills and qualifications&middot; Minimum 2 years of experience in medical coding&middot; Deep experience with administrative information systems and applications&middot; Preferred skills and qualifications&middot; Bachelor&rsquo;s degree (or equivalent) in health information systems or related field&middot; Professional credential for medical practices, such as CPC (Certified Professional Coder)&middot; Experience in using the XIFIN billing systemBeyond The Resume, What We Look ForWe look for talented candidates with honesty, integrity, loyalty, hard work, flexibility, desire to learn, and commitment to a long term opportunity.Job Type: Part-timeAbility to commute/relocate:<ul><li>Islamabad: Reliably commute or planning to relocate before starting work (Required)</li></ul>Job Type: Full-timeWork Location: In person

Medical Coder

MaxRemind

We Are Hiring &ndash; Medical CoderMaxRemind is looking for a detail-oriented and motivated Medical Coder to join our growing team!Key Responsibilities:<ul><li>Review medical records and assign accurate CPT, ICD-10, and HCPCS codes</li><li>Ensure coding accuracy for billing and insurance claims</li><li>Verify compliance with payer guidelines and HIPAA regulations</li><li>Coordinate with billing teams to resolve denials and discrepancies</li><li>Stay updated with changes in coding standards and healthcare regulations</li><li>Maintain accuracy within coding systems, billing processes, and EHR software</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree (Mandatory)</li><li>6 months to 1.5 years of experience in medical coding</li><li>Strong analytical skills and attention to detail</li><li>Excellent communication skills</li></ul>Location: Near Old Airport Road. Fazal Town Phase 2, RawalpindiMorning Shift: 08:00 AM &ndash; 05:00 PMIf you meet the criteria and are ready to grow your career with us, apply now!Send your CV to: hr@mremind.comPay: Rs40,000.00 - Rs50,000.00 per monthWork Location: In person

METABOLIC

<div>Role Overview
The Medical Coder should ensure accurate clinical coding and timely claim submissions/resubmission. You protect revenue by reducing coding errors, preventing denials, and securing appropriate reimbursement. You ensure compliance with DHA regulations and payer requirements. 
Key Objectives
Operational Accuracy<ul><li>
Ensure precise CPT, ICD, and HCPCS coding for all outpatient encounters.</li><li>
Maintain zero tolerance for upcoding, undercoding, or unbundling.</li></ul>
Revenue Protection<ul><li>
Achieve less than 5 percent denial rate related to coding errors.</li><li>
Ensure submissions/resubmission are completed within payer timelines.</li></ul>
 Compliance<ul><li>
Maintain audit ready coding documentation.</li><li>
Ensure adherence to DHA regulations and UAE payer policies.</li></ul>
Core Responsibilities
 Clinical Coding<ul><li>
Review patient medical records, including physician notes, test results, charge tickets, and other documentation from outpatient encounters.</li><li>
Ensure coding reflects medical necessity and supports billed services.</li><li>
Clarify incomplete or ambiguous documentation with clinicians.</li><li>
Apply payer specific coding guidelines and bundling rules.</li><li>
Assist with audits, denial management, education to providers on documentation best practices, and reimbursement questions.</li><li>
Submission of Clean claims to insurance within the defined TAT.</li><li>
Resubmission of partially rejected claims with justification within defined TAT time.</li></ul>
Denial Analysis and Resubmissions<ul><li>
Review rejected and denied claims to identify root causes.</li><li>
Correct coding errors and prepare compliant resubmissions; &bull; Draft appeal letters with clinical justification and supporting documents, Track resubmission outcomes and escalate unresolved cases.</li></ul>
 Documentation Integrity<ul><li>
Ensure clinical notes, diagnostic reports, and orders support coded services.</li><li>
Validate alignment between coding, authorization, and billed services.</li><li>
Maintain organized digital records of denials, corrections, and appeals.</li></ul>
 Payer and TPA Coordination<ul><li>
Liaise with insurance companies and TPAs to clarify denial reasons.</li><li>
Communicate resubmission status to billing, approvals team, and management.</li><li>
Monitor payer policy updates and adjust coding practices accordingly.</li></ul>
 Systems and Reporting<ul><li>
Use HIS, EclaimLink, and payer portals to manage coding edits and resubmissions.</li><li>
Recommend process improvements to reduce recurring denials.</li></ul> 
Requirements 
<ul><li>
Certified Professional Coder credential.</li><li>
Bachelor&rsquo;s degree in Health Information Management, Nursing, or related field.</li><li>
Strong knowledge of DHA regulations and UAE payer rules.</li><li>
Minimum 2 years of coding and denial management experience in the UAE.</li><li>
Proficiency in EHR systems, coding tools, and Microsoft Office.</li><li>
Strong analytical skills and attention to detail.</li><li>
Effective communication with clinical, billing, and insurance teams.</li><li>
Experience in outpatient clinics or specialty centers, preferably endocrinology or metabolic care.</li></ul></div>

GluCare.Health

<div>
 
 Role Overview
 
 
 
 The Medical Coder should ensure accurate clinical coding and timely claim submissions/resubmission. You protect revenue by reducing coding errors, preventing denials, and securing appropriate reimbursement. You ensure compliance with DHA regulations and payer requirements.
 
 
 
 Key Objectives
 
 
 
 Operational Accuracy
 
 
 <ul>
 <li>
 Ensure precise CPT, ICD, and HCPCS coding for all outpatient encounters
 </li>
 <li>
 Maintain zero tolerance for upcoding, undercoding, or unbundling.
 
 
 </li>
 </ul>
 Revenue Protection
 
 
 <ul>
 <li>
 Achieve less than 5 percent denial rate related to coding errors
 </li>
 <li>
 Ensure submissions/resubmission are completed within payer timelines
 
 
 </li>
 </ul>
 Compliance
 
 
 <ul>
 <li>
 Maintain audit ready coding documentation
 </li>
 <li>
 Ensure adherence to DHA regulations and UAE payer policies.
 
 
 </li>
 </ul>
 
 Core Responsibilities
 
 
 
 Clinical Coding
 
 
 <ul>
 <li>
 Review patient medical records, including physician notes, test results, charge tickets, and other documentation from outpatient encounters
 </li>
 <li>
 Ensure coding reflects medical necessity and supports billed services
 </li>
 <li>
 Clarify incomplete or ambiguous documentation with clinicians
 </li>
 <li>
 Apply payer specific coding guidelines and bundling rules.
 </li>
 <li>
 Assist with audits, denial management, education to providers on documentation best practices, and reimbursement questions
 </li>
 <li>
 Submission of Clean claims to insurance within the defined TAT
 </li>
 <li>
 Resubmission of partially rejected claims with justification within defined TAT time.
 
 
 </li>
 </ul>
 Denial Analysis and Resubmissions
 
 
 <ul>
 <li>
 Review rejected and denied claims to identify root causes
 </li>
 <li>
 Correct coding errors and prepare compliant resubmissions;
 </li>
 <li>
 Draft appeal letters with clinical justification and supporting documents, Track resubmission outcomes and escalate unresolved cases
 
 
 </li>
 </ul>
 Documentation Integrity
 
 
 <ul>
 <li>
 Ensure clinical notes, diagnostic reports, and orders support coded services
 </li>
 <li>
 Validate alignment between coding, authorization, and billed services
 </li>
 <li>
 Maintain organized digital records of denials, corrections, and appeals
 
 
 </li>
 </ul>
 Payer and TPA Coordination
 
 
 <ul>
 <li>
 Liaise with insurance companies and TPAs to clarify denial reasons
 </li>
 <li>
 Communicate resubmission status to billing, approvals team, and management
 </li>
 <li>
 Monitor payer policy updates and adjust coding practices accordingly
 
 
 </li>
 </ul>
 Systems and Reporting
 
 
 <ul>
 <li>
 Use HIS, EclaimLink, and payer portals to manage coding edits and resubmissions
 </li>
 <li>
 Recommend process improvements to reduce recurring denials
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 Certified Professional Coder credential
 </li>
 <li>
 Bachelor's degree in Health Information Management, Nursing, or related field
 </li>
 <li>
 Strong knowledge of DHA regulations and UAE payer rules
 </li>
 <li>
 Minimum 2 years of coding and denial management experience in the UAE
 </li>
 <li>
 Proficiency in EHR systems, coding tools, and Microsoft Office
 </li>
 <li>
 Strong analytical skills and attention to detail
 </li>
 <li>
 Effective communication with clinical, billing, and insurance teams
 </li>
 <li>
 Experience in outpatient clinics or specialty centers, preferably endocrinology or metabolic care
 </li>
 </ul>
</div>

Al Amthal occupational medicine

Required: Medical Coder with minimum experience of 1 year in Abu Dhabi.Job Type: Full-time

Virtelligence

Islamabad, Pakistan Company: Virtelligence Full-Time | Onsite Night Shift (US Market Hours)About VirtelligenceVirtelligence is a growing US healthcare outsourcing company providing end-to-end Medical Billing and Revenue Cycle Management (RCM) services. We are looking for a detail-oriented and compliance-focused Medical Coder to join our coding team.Position OverviewThe Medical Coder will be responsible for accurately assigning CPT, ICD-10, and HCPCS codes while ensuring compliance with US payer guidelines and industry standards.Key Responsibilities<ul><li>Assign accurate CPT, ICD-10, and HCPCS codes to diagnoses and procedures</li><li>Ensure compliance with coding standards and payer regulations</li><li>Review clinical documentation to support accurate coding</li><li>Identify and correct coding errors to reduce claim denials</li><li>Collaborate with AR team to resolve coding-related denials</li><li>Maintain productivity and quality standards</li></ul>Requirements✔ CPC / Certified Medical Coder preferred ✔ Strong knowledge of US coding systems (ICD-10, CPT, HCPCS) ✔ 2+ years of medical billing/coding experience (US market) ✔ Strong attention to detail and compliance awareness ✔ Good English communication skills ✔ Willingness to work in Night Shift (US time zone)Why Join Virtelligence?<ul><li>Competitive salary package</li><li>Professional growth opportunities</li><li>Supportive team environment</li><li>Exposure to US healthcare systems</li></ul>Job Type: Full-timePay: Rs80,000.00 - Rs110,000.00 per monthWork Location: In person

Cosentus India Private Limited

Job Title: UAE IP Coder (Inpatient Medical Coder)Department: Revenue Cycle Management (RCM) Location: [Specify Location / Remote] Experience: Minimum 2&ndash;4 years in UAE IP Coding Employment Type: Full-TimeJob Summary:We are seeking a detail-oriented and certified UAE IP Coder responsible for accurately reviewing and assigning medical codes for inpatient records in accordance with UAE healthcare regulations, payer guidelines, and international coding standards. The candidate must ensure compliance, accuracy, and timely submission of claims to optimize reimbursement and minimize denials.Key Responsibilities:<ul><li>Review inpatient medical records, including discharge summaries, operative notes, lab reports, and physician documentation.</li><li>Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes as applicable.</li><li>Ensure coding compliance with DOH (Department of Health &ndash; Abu Dhabi), DHA (Dubai Health Authority), and MOH (Ministry of Health UAE) guidelines.</li><li>Maintain accuracy and productivity standards as defined by the organization.</li><li>Identify documentation gaps and raise physician queries when required.</li><li>Ensure proper DRG assignment and validate coding for reimbursement optimization.</li><li>Work closely with billing and AR teams to resolve coding-related denials.</li><li>Participate in internal and external coding audits.</li><li>Stay updated with UAE payer regulations and coding updates.</li></ul>Required Qualifications:<ul><li>Bachelor&rsquo;s degree in Life Sciences, Nursing, Pharmacy, or related field.</li><li>Minimum 2&ndash;4 years of experience in UAE Inpatient Coding.</li><li>Strong knowledge of DRG coding and UAE payer guidelines.</li><li>Familiarity with hospital information systems and EMR platforms.</li></ul>Certifications (Preferred/Required):<ul><li>CPC / CCS / CIC certification (AAPC or AHIMA preferred).</li><li>Valid coding certification is mandatory.</li></ul>Skills Required:<ul><li>Strong understanding of medical terminology and anatomy.</li><li>Excellent analytical and attention-to-detail skills.</li><li>Good communication skills (written and verbal).</li><li>Ability to meet productivity and accuracy benchmarks.</li><li>Knowledge of denial management related to IP coding.</li></ul>Job Type: Full-time

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