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medical coding specialist

NMC Health plc

<div><ul><li>Auditing records to ensure proper submission of services prior to billing on pre-determined selected charges.
</li><li>Receiving hospital information to properly bill provider services for hospital patients.
</li><li>Supplying correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided.
</li><li>Supplies correct HCPCS code on all procedures and services performed.
 </li><li>Provide correct CPT code on all procedures and services performed.
</li><li>Contacts Medical staff to train and update them with correct coding information.
</li><li>Attending seminars and in-services as required to be updated on coding issues.
</li><li>Auditing medical records to ensure proper coding completed and to ensure compliance with Haad Regulation and Rules.
</li><li>Following coding guidelines and legal requirements to ensure compliance Haad regulation and rules.
</li><li>Assign proper ICD9, CPT, DRG codes for medical service that required pre-Authorization.
</li><li>Help in the coding process for the rejected claims.
</li><li>Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
</li><li>Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
</li><li>Analyzes provider documentation to assure the appropriate Evaluation &amp; Management (E&amp;M) levels are assigned using the correct CPT code
</li><li>Performs other related duties, which may be inclusive, but not listed in the job description
</li><li>Code the most accuracy level of diagnosis like external cause, place of occurrence and activity code.
</li><li>Attending OSH programs of BIH as a mandatory requirement.
</li><li>Complies with all OSH policies, procedures &amp; legal requirements regarding OSHMS.
</li><li>Conducts his/ her task in a healthy and safe manner at all times.
</li><li>Report any untoward events that will impact the occupational, safety and health of patients, contractors, facilities, operations and etc.</li></ul></div>
 <div><ul><li>Auditing records to ensure proper submission of services prior to billing on pre-determined selected charges.
</li><li>Receiving hospital information to properly bill provider services for hospital patients.
</li><li>Supplying correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided.
</li><li>Supplies correct HCPCS code on all procedures and services performed.
 </li><li>Provide correct CPT code on all procedures and services performed.
</li><li>Contacts Medical staff to train and update them with correct coding information.
</li><li>Attending seminars and in-services as required to be updated on coding issues.
</li><li>Auditing medical records to ensure proper coding completed and to ensure compliance with Haad Regulation and Rules.
</li><li>Following coding guidelines and legal requirements to ensure compliance Haad regulation and rules.
</li><li>Assign proper ICD9, CPT, DRG codes for medical service that required pre-Authorization.
</li><li>Help in the coding process for the rejected claims.
</li><li>Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
</li><li>Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
</li><li>Analyzes provider documentation to assure the appropriate Evaluation &amp; Management (E&amp;M) levels are assigned using the correct CPT code
</li><li>Performs other related duties, which may be inclusive, but not listed in the job description
</li><li>Code the most accuracy level of diagnosis like external cause, place of occurrence and activity code.
</li><li>Attending OSH programs of BIH as a mandatory requirement.
</li><li>Complies with all OSH policies, procedures &amp; legal requirements regarding OSHMS.
</li><li>Conducts his/ her task in a healthy and safe manner at all times.
</li><li>Report any untoward events that will impact the occupational, safety and health of patients, contractors, facilities, operations and etc.</li></ul></div>
 <div><ul><li>High School Diploma/ Bachelor&rsquo;s degree
</li><li>Medical Coding Certificate by AAPC OR AHIMA
</li><li>Two years&rsquo; experience using ICD-9-CM, CPT, HCPCs or equivalency.</li></ul></div>

Medical Coder

Gulf International Medical Services

We are a licensed homecare organization dedicated to delivering high-quality, patient-centered healthcare services across Abu Dhabi. We are seeking an experienced Medical Coder &amp; Biller to handle coding, billing, and insurance preauthorization's for our homecare services.Medical Coding<ul><li>Review and verify patient documentation, clinical notes, and assessments submitted by nurses and therapists.</li><li>Assign accurate ICD-10, CPT, and HCPCS codes as per DOH and insurance guidelines.</li><li>Ensure coding compliance and maintain accuracy in claim documentation.</li><li>Coordinate with clinical staff to clarify incomplete or missing documentation.</li></ul>Medical Billing<ul><li>Prepare, submit, and track insurance claims for homecare services.</li><li>Handle billing entries, reconciliation, and follow-ups on pending or rejected claims.</li><li>Coordinate with insurance companies to resolve denials, discrepancies, or claim issues.</li><li>Maintain accurate billing records and ensure timely reimbursement.</li></ul>Insurance Preauthorization &amp; Approvals<ul><li>Apply for preauthorization requests for homecare services as per DOH and payer requirements.</li><li>Follow up closely with insurance providers for approval status.</li><li>Maintain updated knowledge of all payer policies and authorization criteria.</li><li>Ensure all approvals are received before initiating services.</li><li>Communicate approvals and validity periods to the scheduling and clinical teams.</li></ul>Job Types: Full-time, PermanentPay: AED3,000.00 - AED4,000.00 per monthApplication Question(s):<ul><li>Do you have any experience working in a homecare Medical facility or Hospital in UAE?</li><li>If not in UAE do you have any experience working in a homecare Medical facility or Hospital in home country?</li><li>Do you have experience in billing?</li><li>Salary is between AED 3000 to 4000 doyou agree?</li></ul>

<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

<div>3.1 Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits
 
3.2 Respond to Insurance/ TPA queries and liaise with concerned department without any delay.
 
3.3 Responsible for receiving, evaluating and escalating second opinion cases and case management
 
3.4 Perform night shift duty and on public holidays as per duty roster.3.5 Prepares reports of daily activity as 3.5 requested for management and assists management in monthly reports as
 
requested.
 
3.6 Handle Auditing Process. Arrange required documents and papers and check with coders in order to assist the
 
external Auditors
 
3.7 Attend Meetings and Presentation
 
3.8 Train Front office, Receptionist and Nurses and keep them updated about Insurance details.
 
3.9 Prepare cost estimate for procedures for Cash Patient
 
3.10 To adjust duties in case of any sudden/ emergency unplanned leaves by colleagues.
 
3.11 Managing and handling pending cases (if any) to the next shift colleagues.
 
3.12 Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
 
3.13 Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital
 
management to comply those requirements
 
3.14 Work accordance with the documented OSH procedures and instructions, specific responsibilities
 
3.15 Be familiar with emergency and evacuation procedures
 
3.16 Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk
 
assessments, incident reports
 
3.17 Comply with Waste management procedures and policies
 
3.18 Attend applicable OSH/Infection control training programs, mock drills and awareness programs
 
3.19 Use of appropriate personal protective equipment and safety systems</div>
 <div><ul><li>Evaluate pre-approval requests for medical necessity based on the provided medical data, and accurately code service descriptions according to accepted medical coding rules, medical guidelines, and the policy schedule of benefits.
</li><li>Respond to Insurance/TPA queries promptly 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 with monthly reports.
</li><li>Handle the auditing process, arrange required documents, and coordinate with coders to support external auditors.
</li><li>Attend meetings and presentations as required.
</li><li>Train front office staff, receptionists, and nurses, and keep them updated on insurance details.
</li><li>Prepare cost estimates for procedures for cash patients.
</li><li>Adjust duties as needed during sudden or emergency unplanned colleague absences.
</li><li>Manage and hand over pending cases (if any) to colleagues for the next shift.
</li><li>Perform any other tasks assigned by the HOD that fall 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 and instructions specific to assigned 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 applicable OSH/infection control training programs, mock drills, and awareness activities.
</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 oral and written English.
</li><li>Flexible and able to work under pressure.
</li><li>Strong knowledge of Microsoft applications.</li></ul></div>

Approval 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 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

DOCTOR ATIQUR RAHMAN POLYCLINIC

Part Time Genral practitioner(MBBS)with DOH abudhabi licence having minimum 3 yrs experience in UAE is required for a medical center in Al Danah Abudhabi city Multilingual experienced candidate with own visa preferred. The doctor must be able to manage general diseases independently .Must have experience in E&amp;M coding . those interested in the job please send one page cvJob Types: Permanent, Part-timePay: From AED5,000.00 per monthAbility to commute/relocate:<ul><li>Abu Dhabi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>

General Practitioner Doctor

Jobtrack Management Services

Overview PRODUCT SPECIALIST - MEDICAL IMAGING UNIT ABU DHABIOur client, a healthcare-focused company, is hiring a Product Specialist for the Medical Imaging Unit. The position offers AED 10,000 salary plus annual benefits and bonus. Responsibilities <ul><li>Sell medical imaging instruments and solutions (e.g., Ultrasound, MRI, CT Scan) to healthcare facilities and clinical teams.</li><li>Develop and manage client relationships with hospitals, clinics, and imaging centers in the UAE.</li><li>Meet or exceed sales targets, prepare proposals, and coordinate with internal teams to ensure successful implementation and support.</li></ul> Qualifications <ul><li>Minimum 1 year of UAE experience in selling medical instruments (Ultrasound, MRI, CT Scan, etc.).</li><li>Bachelor in Biomedical Engineering or equivalent.</li><li>Arabic speaking; UAE driving license is a must.</li></ul> Additional Information Location: Abu Dhabi. Compensation: AED 10,000 plus annual benefits and bonus. This description reflects the information provided by the client and is subject to change.

PRODUCT SPECIALIST - MEDICAL IMAGING UNIT

Explore 515+ Medical coding specialist in Abu Dhabi this December. Find roles across top companies and apply now to boost your career.

515 medical coding specialist jobs IN Abu Dhabi

Medical Coder

Medical Coder

IP Medical Coder

Approval Officer

Submission & Resubmission Officer

General Practitioner Doctor

PRODUCT SPECIALIST - MEDICAL IMAGING UNIT