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medical coding specialist

Sheikh Shakhbout Medical...

Job DescriptionThe CDI primary role will be auditing inpatient/ outpatient cases for DRG validation and/or documentation improvement opportunities utilizing a unique approach that combines technology, coding and clinical documentation auditing expertise. Responsibilities include working directly with the Physicians, Coders and CDI team members to streamline processes, identify training needs and ensure consistent information is shared. Provide training, as needed to ensure quality and productivity standards are met. This person should have strong coding skills, extensive knowledge of medical terminology, the human disease process, and anatomy &amp; physiology, along with a thorough understanding of the workflow and processes utilized by the team members to successfully complete review processes. Viewed as an expert, highly sought-after resource, and a key advisor to other business partners. Ensures compliance of coding/billing and charging with regulatory and accreditation standards.Responsibilities Prepares medical records in the inpatient and/or outpatient setting to capture an accurate representation of the severity of illness and facilitate proper coding. Improves documentation practices to reflect quality and outcome scores. Develops and educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record; Obtains and promote appropriate clinical documentation through extensive interaction with physicians to ensure that the documentation of the level of service rendered to the patient and the patient's clinical complexity is complete and accurate; Performs remote and on-site paper or electronic medical chart review and clinical validation audits and interpretation of medical documentation to ensure clinical support of all relevant coding based on AHIMA guidelines; Facilitates and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient Assess review data to determine areas of improvement for follow up physician training and communication Utilizes query process when code assignments are not straightforward or documentation is not clear for coding purposes; Maintains Clinician focused process design, data analysis, and improvement strategies to drive project execution for high quality/high priority outcomes; Assess clinical aspects of medical record documentation to drive improvement and consistency in application across Medical Group adult primary care and specialty clinics. Prepares spreadsheets to collect and support chart review findings; Recommends necessary training to correct deficiencies for the department/section Communicates effectively all relevant policies and procedures, of the facility to the current and prospective employees Contributes to the processes used in the performance of the CDS role, through SOP development and revision, and process improvement Responsible for providing accurate information to the management, finance leadership, and medical team. Contributes to the processes used in the performance of the CDS role, through SOP development and revision, and process improvementAccountabilities Maintains patient medical records in the inpatient and/or outpatient setting to capture an accurate representation of the severity of illness and facilitate proper coding. Determines and validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient s illness along with expected risk of mortality and complexity of care.QualificationsExperience :-Required Experience in IR-DRG, ICD10 and CPT Experience with Statistical analysis/ Data Analysis Experience with Microsoft Office Tools Experience in a large healthcare facilityDesired Experience in a large healthcare facility Experience in IR-DRG and ICD10Educational Qualification: Required: Any of the following: Registered Health Information Technician (RHIT), Certified CodingAbout UsAt SSMC, we firmly believe that the human touch is a fundamental part of care. We understand that health care is both an art and a science, running deeper than simply diagnosing and treating those who rely on us. Our SSMC Model of Care puts our patients at the forefront of our purpose and at the heart of everything we do, ensuring that the needs of our patients come first. Every one of our patients receives individualized attention from a multidisciplinary team of experts who collaborate closely to deliver trusted and compassionate care. From the very first point of contact with SSMC, to the moment patients are back home, we ensure speciality-specific care at every stage and in every interaction. As one of the largest tertiary hospitals in the UAE, SSMC provides access to specialist medical treatments and advanced diagnostics, with a commitment to becoming a Destination Medical Center in the UAE and wider region.About The TeamAbout Sheikh Shakhbout Medical City (SSMC)SSMC is the largest tertiary hospital in the UAE and serves to elevate the provision of health care services in the nation under the mandate of the Abu Dhabi Economic Vision 2030.Supported by the latest diagnostic and treatment modalities available, SSMC offers care in 44 specialties. A team of locally and internationally trained medical, clinical and admin professionals work seamlessly together, which promotes comprehensive interdisciplinary learning, allowing SSMC to become a leading hub for integrated patient-centric medical services in the region.As the region s leading tertiary facility, SSMC has 742 patient beds, 18 operating theatres, and includes a hybrid operating room, 26-bed neonatal intensive care unit, and the UAE s largest pathology lab.

Clinical Documentation Integrity Specialist-Coding

Gargash Hospital

<p><b>Medical Coder</b><br> <br>Job Location : Dubai, UAE<br> <br><b>Key Responsibilities :</b><br> <br>  Accurately code medical diagnoses, treatments, and procedures using ICD-10, CPT, and HCPCS coding systems.<br>  Review patient medical records and ensure proper assignment of codes for billing and reimbursement purposes.<br>  Collaborate with medical staff to ensure accurate documentation and code assignment.<br>  Handle coding for various departments including outpatient, inpatient, emergency, and specialty care.<br>  Submit and follow up on insurance claims, ensuring proper reimbursement for services rendered.<br>  Ensure compliance with insurance and hospital policies, as well as all applicable regulations and standards.<br>  Participate in audits and assist with any coding-related inquiries.<br>  Stay updated on coding and billing regulations, policies, and changes in healthcare law.<br> <br><b>Qualifications </b>:<br> <br>  Must have a certification in medical coding (e.g., CPC, CCA, CCS).<br>  Minimum 3-4 years of experience in medical coding within a hospital or clinical setting in Dubai.<br>  Extensive knowledge of ICD-10, CPT, HCPCS coding systems and DRG-based billing.<br>  Experience with healthcare insurance claims, billing processes, and reimbursement regulations.<br>  Attention to detail with a strong focus on accuracy and compliance.<br>  Ability to work both independently and in a team-oriented environment.<br>  Strong communication skills and the ability to collaborate effectively with healthcare professionals.<br>  Experience with medical coding software and hospital information systems.</p>

Medical Coder

Adam Vital Hospital

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 <p> <span>Diploma; Graduate</span> </p>
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<span>Medical Coder (OP)<br> <br>Job Location : Dubai, UAE<br> <br>Requirements :<br> <br>  Should have experience as Medical Coder<br>  Any Nationals <br> <br><br></span></div>
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Medical Coder (OP)

HBG MEDICAL CENTRE FZ LLC

<p><b>Insurance Coordinator (Part-Time) &ndash; HBG Medical Centre, Dubai</b></p><p>HBG Medical Centre is looking for a <b>part-time Insurance Coordinator</b> with solid experience in <b>UAE medical coding, insurance approvals, claim submission, and resubmission processes</b>.</p><p><b>Position Details:</b></p><ul><li><b>Job Title:</b> Insurance Coordinator</li><li><b>Location:</b> HBG Medical Centre, Dubai</li><li><b>Timings:</b> 2:00 PM &ndash; 6:00 PM</li><li><b>Work Days:</b> 6 days a week</li><li><b>Salary:</b> AED 3,000 per month</li><li><b>Employment Type:</b> Part-Time (Own Visa)</li></ul><p><b>Requirements:</b></p><ul><li>Must be on <b>own visa</b> <i>(No visa can be provided)</i></li><li>Minimum <b>2 years of UAE medical insurance coordination experience</b></li><li>Strong knowledge of <b>UAE medical coding (ICD, CPT)</b></li><li>Hands-on experience with <b>insurance approvals, claim submissions, and resubmissions</b></li><li>Familiar with major <b>TPAs and insurance portals</b></li><li>Excellent communication, accuracy, and follow-up skills</li></ul><p><b>Key Responsibilities:</b></p><ul><li>Verify insurance eligibility and obtain required approvals prior to services</li><li>Handle <b>claim submission and resubmission</b> in a timely and accurate manner</li><li>Coordinate with doctors, reception, and billing teams for smooth workflow</li><li>Ensure compliance with insurance and coding regulations</li><li>Maintain proper documentation and track pending claims</li></ul><p>If you meet the above criteria and are seeking a part-time role in a reputable medical centre, we invite you to apply.</p><p>Job Type: Part-time</p><p>Pay: AED3,000.00 per month</p><p>Expected hours: 24 per week</p><p>Application Question(s):</p><ul><li>Do you have your own visa?</li></ul><p>Experience:</p><ul><li>UAE Clinical: 2 years (Required)</li><li>Clinical : 2 years (Preferred)</li></ul><p>Expected Start Date: 01/11/2025</p>

Insurance Coordinator (Part-Time)

NMC healthcare LLC

<h2>Responsibilities</h2><ul><li>Follow the mandatory SOP, checklist and relevant payer and coding guidelines.</li><li>Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI)</li><li>Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors.</li><li>Supporting details/ justification available in EMR of all investigation done.</li><li>Checking all CPT codes entered are correct based on CPT guidelines.</li><li>Checking excluded ICD and CPT based on Coding guidelines.</li><li>Approved services and rendered services are match.</li><li>Ensuring all requested investigations are done and invoiced.</li><li>Check the claim with correct Receiver and Payer name before finalizing the bill.</li><li>Check the claim with correct Patient Copay application.</li><li>Ensure all claims are submitted to insurance company.</li><li>Check the payer’s name, rate plan and plan name selected properly.</li></ul><h2></h2>

NMC Health plc

<div><p>Ensures proper coding of claims in reference to the documentation present which is to be in compliance with the regulator&rsquo;s coding guidelines.</p></div><p></p>
<br><p></p><div><p>Reviews information as documented by Physician in medical record and Ensures coding is as per DHA guidelines and regulations.
</p><div><ul><li><p>Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
</p></li></ul><ul><li><p>Consults Physicians for further clarification and understanding of patient charts to avoid any misinterpretations.
 </p></li></ul><ul><li><p>Ensures that codes (CPT) tally with Physician&rsquo;s&rsquo; diagnosis (ICD) &ndash; checks for documentation of medical necessity.
</p></li></ul><ul><li><p>Provides feedback to Doctors regarding coding errors or oversig hts.
</p></li></ul><ul><li><p>Circulate coding related information/Issues encountered in billing to identify trends and have them resolved.
 </p></li></ul><ul><li><p>Provide accurate answers to queries on coding from any concerned teams
</p></li></ul><ul><li><p>Evaluate and assist in resubmission of claims in reference to coding related denials.
</p></li></ul></div><p>Performs other Duties as assigned by HOD.</p></div>
<br><div><ul><li><p>A graduate with 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).
</p></li><li><p>Fluent spoken and written English. Spoken Arabic is advantageous but not essential.
</p></li><li><p>Sound Knowledge in MS Office.</p></li></ul></div><p></p>

PW Clinic

<p>Job Summary:</p><p>We are seeking a skilled Dental Insurance Coder to join our team in Dubai. The ideal candidate will be responsible for accurately coding dental procedures, verifying insurance eligibility, and ensuring proper claim submission and reimbursement in compliance with DHA and insurance guidelines.</p><p>Key Responsibilities:</p><ul><li>Review and assign appropriate dental procedure codes (ADA / CDT) for all treatments.</li><li>Verify insurance coverage and eligibility prior to patient appointments.</li><li>Prepare, submit, and track dental insurance claims to ensure timely approval and payment.</li><li>Handle claim rejections, re-submissions, and patient billing inquiries.</li><li>Coordinate with dentists and reception teams to ensure coding accuracy and documentation completeness.</li><li>Maintain up-to-date knowledge of insurance policies, DHA regulations, and coding standards.</li><li>Generate regular reports on claim status and reimbursement performance.</li></ul><p>Qualifications &amp; Skills:</p><ul><li>Minimum 2 years of experience as a Dental Insurance Coder or Coordinator in Dubai.</li><li>Strong knowledge of UAE insurance systems, coding (ADA/CDT), and claim procedures.</li><li>Familiar with DHA regulations and eClaimLink / DHPO systems.</li><li>Excellent communication and organizational skills.</li><li>Proficiency in medical/dental software and MS Office.</li></ul><p>Job Type: Full-time</p><p>Pay: AED2,500.00 - AED3,000.00 per month</p><p>Experience:</p><ul><li>Dental insurance : 2 years (Required)</li></ul>

Dental insurance coder

Explore 2203+ Medical coding specialist in Dubai this November. Find roles across top companies and apply now to boost your career.

2203 medical coding specialist jobs IN Dubai

Clinical Documentation Integrity Specialist-Coding

Medical Coder

Medical Coder (OP)

Insurance Coordinator (Part-Time)

Medical Coder

Medical Coder

Dental insurance coder