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ip medical coder

NMC Health plc

<div>Ensures proper coding of documents in accordance with the regulator&rsquo; coding guidelines and regulations.</div>
 <div><ul><li>Checks and sequences the most accurate ICD-9/ICD-10-CM/CPT/HCPCS/DRG/other codes for diagnoses and procedures based on documented information, ensuring final diagnoses and operative procedures stated by the physician are valid and complete.
</li><li>Abstracts necessary information from health records to identify secondary complications and co-morbid conditions.
</li><li>Evaluates records for documentation consistency and adequacy; ensures the final diagnosis reflects the care provided; computes and assigns the correct DRG for all inpatient cases.
</li><li>Provides training and guidance to other coders/medical records technicians, including updates on new coding rules and regulations.
</li><li>Analyzes physicians&rsquo; documentation to ensure appropriate E&amp;M levels and correct CPT codes are assigned.
</li><li>Ensures coding compliance with HAAD guidelines and regulations.
</li><li>Provides feedback to doctors regarding coding errors or oversights.
</li><li>Keeps updated with the latest coding versions and HAAD coding directives.
</li><li>Performs miscellaneous job-related duties as assigned.
</li><li>Performs any other tasks assigned by the HOD within the scope of the job title.
</li><li>Complies with all OSH and infection control policies, standards, and procedures; cooperates with hospital management to meet compliance requirements.
</li><li>Works in accordance with documented OSH procedures and instructions.
</li><li>Is familiar with emergency and evacuation procedures.
</li><li>Reports OSH hazards, incidents, near misses, and assists with risk assessments and incident reports.
</li><li>Complies with waste-management procedures and policies.
</li><li>Attends applicable OSH/Infection Control training programs, mock drills, and awareness programs.
</li><li>Uses appropriate personal protective equipment (PPE) and safety systems as required.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Allied Health Sciences or a related field, with at least two (2) years of coding experience.
</li><li>Valid Certified Coding Associate (CCA) certification from AHIMA or Certified Professional Coder (CPC) certification from AAPC.
</li><li>Computer literacy, including proficiency in MS Office.
</li><li>Excellent command of oral and written English.
</li><li>Performance Criteria:
<ul><li>Achievement of core objectives in alignment with management and stakeholder expectations.
</li><li>Ability to work constructively and interact professionally with colleagues and other stakeholders.
</li><li>Ability to coordinate multiple tasks, adapt to changing priorities, and meet deadlines.</li></ul></li></ul></div>

IP Medical Coder

alsafwa medical center

Job summary:We are seeking an experienced Medical Coder to join our healthcare team . The ideal candidate will have a strong background in medical coding, with specific expertise in handling preapprovals, invoicing, submissions, and resubmissions. The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies, and optimizing the revenue cycle management process.Key Responsibilities:<ul><li>Medical Coding:</li><li>Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes</li><li>Ensure that all coding meets regulatory and insurance requirements</li><li>Preapprovals:</li><li>Handle the submission and follow-up of preapproval requests for medical procedures and treatments with insurance companies</li><li>Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals</li><li>Invoicing:</li><li>Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information</li><li>Collaborate with the finance department to ensure timely and accurate billing</li><li>Submissions and Resubmissions:</li><li>Submit medical claims to insurance companies and follow up on the status of submitted claims</li><li>Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment</li><li>Communicate with insurance companies to resolve any discrepancies or issues related to claims</li><li>Compliance:</li><li>Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations</li><li>Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements</li><li>Documentation:</li><li>Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities</li><li>Generate reports on coding and billing activities for internal review and analysis</li></ul>Understand, follow and support all hospital infection control programs.RequirementsQualifications:<ul><li>Education:</li><li>Diploma or degree in Medical Coding, Health Information Management, or a related field</li><li>Certification:</li><li>Certified Professional Coder (CPC) or equivalent certification is required</li><li>Experience:</li><li>Minimum of 2 years of experience in medical coding, with specific experience in 1) preapprovals, 2) invoicing, 3) submissions, and 4) resubmissions</li><li>Knowledge:</li><li>In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with UAE healthcare regulations and insurance processes is preferred. DHA issued policies</li><li>Skills:</li><li>Strong attention to detail and accuracy</li><li>Excellent communication and interpersonal skills</li><li>Proficiency in using medical coding software and electronic health records (EHR) systems</li><li>Ability to work independently and manage multiple tasks efficiently</li></ul>Job Types: Full-time, ContractPay: AED2,500.00 - AED4,000.00 per monthExperience:<ul><li>Medical coding: 1 year (Required)</li></ul>

Dental Coder

<div>1.1 The incumbent checks and sequences the most accurate ICD-9/ ICD10- CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
1.2 Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
1.3 Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Computes and gives the correct DRG coding all inpatients cases.
1.4 Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary. 
 
1.5 Analyzes doctors&rsquo; documentation to assure the appropriate Evaluation &amp;
 
Management (E &amp; M) levels are assigned using the correct CPT code.
1.6 Ensures coding is as per DOH guidelines and regulations.
1.7 Provides feedback to Doctors regarding coding errors or oversights.
1.8 Constantly updates to the latest coding versions and DOH coding directives.</div>
 <div><ul><li>Check and assign accurate ICD-9/ICD-10-CM, CPT, HCPCS, DRG, and other relevant codes for diagnoses and procedures based on documented information, ensuring final diagnoses and operative procedures are valid and complete.
</li><li>Abstract essential information from health records to identify secondary complications and co-morbid conditions.
</li><li>Evaluate medical records for documentation accuracy, consistency, and adequacy, ensuring the final diagnosis reflects the treatment provided; compute and assign correct DRG codes for all inpatient cases.
</li><li>Provide training, guidance, and support to coders and Medical Records Technicians, including updates on new coding rules and regulations.
</li><li>Analyze physicians&rsquo; documentation to ensure appropriate Evaluation &amp; Management (E&amp;M) levels are assigned using the correct CPT codes.
</li><li>Ensure all coding practices adhere to DOH guidelines and regulatory standards.
</li><li>Provide feedback to physicians regarding coding errors, discrepancies, or areas for improvement.
</li><li>Stay updated on the latest coding versions, DOH directives, and industry coding updates.</li></ul></div>
 <div>A graduate of Bachelor&rsquo;s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
Preferably one year experience of coding medical claims.</div>

OP Medical Coder

DANA CATERING

We are seeking a senior, results-driven Insurance Claims &amp; Revenue Cycle Manager with deep expertise in Daman insurance, Abu Dhabi claim workflows, and end-to-end revenue cycle control.This role carries full accountability for reducing insurance rejections, accelerating collections, and ensuring timely reconciliation of all insurance receivables in compliance with DOH regulations.Key Responsibilities:1. Insurance Claims Rejection Reduction:<ul><li>Lead and control the entire insurance claims lifecycle (pre-authorization, submission, resubmission, appeal).</li><li>Reduce initial insurance claim rejections to &le; 3% of total claims within 45 days.</li><li>Actively manage and correct rejection causes related to:</li><li>Physicians (clinical documentation &amp; coding alignment)</li><li>Medical coders (CPT / ICD / DRG accuracy)</li><li>Reception &amp; front desk errors (eligibility, approvals, data capture)</li><li>Implement preventive rejection controls (pre-billing audits, checklist enforcement).</li></ul>2. Daman-Focused Claims Management:<ul><li>Handle Daman Enhanced, Basic, and Thiqa and other insurances workflows with full mastery.</li><li>Maintain up-to-date knowledge of Daman/insurance companies policies, circulars, rules, and exclusions in the Emirate of Abu Dhabi.</li><li>Ensure accurate compliance with clinical pathways, tariff rules, and submission timelines.</li></ul>3. Insurance Reconciliation &amp; Collections:<ul><li>Achieve full reconciliation of all insurance claims within 90 days of submission.</li><li>Track outstanding receivables, mismatches, underpayments, and denials.</li><li>Ensure accurate follow-ups, resubmissions, and justifications until closure.</li><li>Maintain a clean aging report with clear accountability and resolution tracking.</li></ul>4. Revenue Cycle Control &amp; Reporting:<ul><li>Own insurance KPIs including:</li><li>Rejection ratio</li><li>Collection turnaround time</li><li>Claims aging (30 / 60 / 90+)</li><li>Recovery percentage</li><li>Produce Daily, weekly and monthly performance reports for management.</li><li>Identify revenue leakage and implement corrective actions immediately.</li></ul>5. Cross-Department Leadership:<ul><li>Work closely with:</li><li>Doctors (clinical documentation quality)</li><li>Medical coders</li><li>Reception and front office teams</li><li>Finance and operations</li><li>Train and enforce best practices across departments to maintain rejection thresholds.</li><li>Act as the final authority on insurance disputes and escalation matters.</li></ul>Key Performance Indicators (KPIs):The following KPIs are tied directly to compensation growth:<ul><li>Insurance Reconciliation KPI</li><li>100% reconciliation of insurance claims within 90 days of submission.</li><li>Claims Rejection KPI</li><li>Reduce and maintain initial rejection rate at or below 3% of total claims within 45 days, including:</li><li>Doctor-related rejections</li><li>Coder-related rejections</li><li>Reception/front desk rejections</li></ul>Mandatory Qualifications:<ul><li>Minimum 10 years of insurance claims experience in Abu Dhabi</li><li>Strong, hands-on experience with Insurance claims</li><li>Deep understanding of:</li><li>DOH regulations</li><li>ICD-10, CPT, DRG coding workflows</li><li>Proven track record of reducing rejection ratios and accelerating collections</li></ul>This Role Is Not Suitable For:<ul><li>Junior or mid-level insurance staff</li><li>Candidates without Abu Dhabi insurance experience</li></ul>Job Type: Full-timePay: AED7,000.00 - AED8,000.00 per month

Revenue Manager

<div>2.1 Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details of the Pre Authorization Requests are in line with the regulators&rsquo; standards especially the claim adjudication Rules and Business Rules.
 
2.2 Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval.
 
2.3 Prepares reports of daily activity as requested for management and assists management in month end reporting as requested.</div>
 <div><ul><li>Evaluate pre-approval requests for medical necessity based on the provided medical data and accurately code the service description according to accepted medical coding rules, medical guidelines, and policy schedule of benefits.
</li><li>Respond to Insurance/TPA queries and coordinate with the concerned departments without delay.
</li><li>Receive, evaluate, and escalate second-opinion cases and case management as required.
</li><li>Perform night shift duties and work on public holidays as per the duty roster.
</li><li>Prepare daily activity reports as requested by management and assist in monthly reports when needed.
</li><li>Handle the auditing process, arrange required documents, and coordinate with coders to support external auditors.
</li><li>Attend meetings and presentations.
</li><li>Train Front Office, Receptionists, and Nurses, ensuring they remain updated on insurance details.
</li><li>Prepare cost estimates for procedures for cash patients.
</li><li>Adjust duties in cases of sudden or emergency unplanned leaves by colleagues.
</li><li>Manage and hand over any pending cases to the next shift colleagues.
</li><li>Perform any other tasks assigned by the HOD within the scope of the job title.
</li><li>Comply with all OSH and infection control policies, standards, and procedures, and cooperate with hospital management to meet these requirements.
</li><li>Work in accordance with documented OSH procedures, instructions, and specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Report OSH hazards, incidents, near misses, and issues, and assist with risk assessments and incident reports.
</li><li>Comply with waste management procedures and policies.
</li><li>Attend applicable OSH/Infection Control training programs, mock drills, and awareness programs.
</li><li>Use appropriate personal protective equipment and safety systems.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Medicine (MBBS) from a recognized university.
</li><li>Minimum 2 years of experience in insurance claims management/adjudication.
</li><li>Experience in medical coding including ICD, CPT, DRG, and HCPCS.
</li><li>Excellent command of oral and written English.
</li><li>Flexible and able to work under pressure.
</li><li>Excellent knowledge of Microsoft applications.</li></ul></div>

Submission & Resubmission Officer

<div>2.1 Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details of the Pre Authorization Requests are in line with the regulators&rsquo; standards especially the claim adjudication Rules and Business Rules.
 
2.2 Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval.
 
2.3 Prepares reports of daily activity as requested for management and assists management in month end reporting as requested.</div>
 <div><ul><li>Evaluate Pre-Approval requests for medical necessity and accurately code service descriptions per medical coding rules, guidelines, and policy schedule of benefits.
</li><li>Respond to Insurance/TPA queries and liaise with relevant departments promptly.
</li><li>Receive, evaluate, and escalate second opinion cases and case management.
</li><li>Perform night shift duties and work on public holidays as per duty roster.
</li><li>Prepare daily activity reports for management and assist in monthly reporting.
</li><li>Handle auditing processes: arrange required documents, coordinate with coders, and assist external auditors.
</li><li>Attend meetings and presentations.
</li><li>Train front office, reception, and nursing staff on insurance updates.
</li><li>Prepare cost estimates for procedures for cash patients.
</li><li>Adjust duties in case of sudden or emergency unplanned leaves by colleagues.
</li><li>Manage and hand over pending cases to the next shift colleagues.
</li><li>Perform any other duties assigned by the HOD within the scope of the job.
</li><li>Comply with all OSH and infection control policies, standards, and procedures.
</li><li>Follow documented OSH procedures and specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Report OSH hazards, incidents, near misses, and assist in preparing risk assessments and incident reports.
</li><li>Comply with waste management procedures and policies.
</li><li>Attend OSH/infection control training, mock drills, and awareness programs.
</li><li>Use appropriate personal protective equipment (PPE) and safety systems.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Medicine (MBBS) from a recognized university.
</li><li>Minimum 2 years of experience in Insurance Claims management/adjudication.
</li><li>Experience in Medical Coding: ICD, CPT, DRG, and HCPCS.
</li><li>Excellent command of written and spoken English.
</li><li>Flexible and able to work under pressure.
</li><li>Strong knowledge of Microsoft applications.</li></ul></div>

Approval Officer

Serdal Holding

Position: Sales Engineer &ndash; Weak Current SystemsDepartment: Sales &amp; Business DevelopmentReporting to: Sales &amp; Marketing ManagerCompany OverviewFescom Middle East Technology LLC delivers state-of-the-art weak current system integration solutions across the UAE, GCC, and Africa. Our expertise spans Fire Alarm Detection (EN54, NFPA, LPCB certified), IP CCTV, Access Control &amp; Electronic Security, Public Address &amp; Voice Alarm (PAVA), Data Structured Cabling, Networking, IP Telephony, and related integrated technologies. We are expanding our Abu Dhabi team to strengthen regional business development and support growth across key sectors.Role SummaryThe Sales Engineer will be responsible for driving business growth, technical sales, and customer relationship management for weak current systems. The role combines technical expertise with commercial acumen to identify opportunities, propose solutions, and secure projects across Abu Dhabi, Dubai, and the wider GCC.Key Responsibilities● Identify, develop, and secure new business opportunities in Abu Dhabi, Dubai, and GCC markets.● Build and maintain strong relationships with end-users, developers, consultants, contractors, and government entities.● Conduct technical presentations, demonstrations, and system design discussions with clients.● Prepare and submit technical and commercial proposals, BOQs, and compliance documents aligned with international standards.● Coordinate with engineering and project teams to ensure feasibility, accurate costing, and timely delivery.● Negotiate contracts, close deals, and achieve sales revenue and gross profit targets.● Maintain regular communication with international vendors and distributors (e.g., Honeywell, Kidde, Cisco, Motorola, Commscope, Tyco).● Monitor market trends, competitor activity, and sector opportunities (oil &amp; gas, hospitality, industrial, power, infrastructure).● Represent Fescom Middle East at industry events, exhibitions, and trade shows.Required Qualifications &amp; Experience● Bachelor&rsquo;s degree in Electrical Engineering, Electronics, Telecommunications, or related field.● 3&ndash;5 years of proven experience in sales of weak current/ELV systems.● Strong technical knowledge of Fire Detection (EN54, NFPA), IP CCTV, Access Control, Electronic Security, PAVA, Structured Cabling, and Network Systems.● Proven sales track record in Abu Dhabi, Dubai, or GCC.● Ability to prepare technical/commercial offers, BOQs, and compliance documentation.● Excellent communication, negotiation, and presentation skills in multicultural environments.● Fluent in English; Arabic is a strong advantage.● UAE driving license and residency in Abu Dhabi (or willingness to relocate).Preferred Qualifications● Experience with system integrators, MEP contractors, or multinational distributors.● Established contacts within government entities, real estate developers, consultants, hospitality, oil &amp; gas, and industrial sectors.● Technical certifications in fire alarm detection, IP CCTV, network, access control, or related weak current systems.● Hands-on experience with solutions from Cisco, HP Aruba, Honeywell, Bosch, Avigilon, Tyco/Johnson Controls, Legrand, Commscope.● Knowledge of project management methodologies (PMP, PMI, PRINCE2) or sales certifications.Employment Package● Competitive base salary + performance-based commission/bonus.● Health insurance and standard UAE employment benefits.● Continuous training and certification opportunities with global technology partners.● Career growth within a rapidly expanding regional company with a strong GCC presence.Why Join Fescom Middle East Technology?Join a dynamic, multinational team backed by strong international and local partners. Work on mission-critical projects across hospitality, infrastructure, oil &amp; gas, and industrial sectors while growing your career in the UAE and wider GCC markets.Job Type: Full-time

Sales Engineer – Weak Current Systems

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