Senior Coding Specialist

Roles and Responsibilities

Organizational Accountabilities:

Follow all relevant policies, processes, standard operating procedures, and instructions and ensure work is carried out in a controlled and consistent manner.

• Promote the implementation and adherence to relevant policies, processes, and operating procedures to others.
• Contribute to the identification of opportunities for continuous improvement of systems, processes, and practices, taking into account leading practices, improvement of department processes, cost reduction, and productivity improvement.
• safety, quality, and environmental management policies, procedures, and controls to ensure safety, legislative compliance, delivery of high-quality service, and a responsible environmental attitude.
• Build high levels of trust and understanding with key internal and external stakeholders to promote full compliance with industry regulations and promote a broader understanding of Dallah Health’s interests and practices.

Functional Accountabilities:

Review and analyze medical records to assign accurate and complete diagnosis and procedure codes using MOH-approved coding systems (ICD-10-AM/ICD-11).

 proper sequencing of codes according to coding guidelines and reimbursement rules.

 Ensure timely coding of inpatient discharges, day surgery, and outpatient encounters to meet billing deadlines.

 Identify missing, incomplete, or ambiguous documentation that impacts coding accuracy.

 Query physicians and clinical staff professionally to clarify documentation gaps.

 Collaborate with Clinical Documentation Improvement (CDI) staff to support accurate record capture.

 Perform self-checks to ensure coding accuracy, consistency, and compliance with coding rules.

Assist the Coding Manager in conducting internal coding audits and peer reviews.

 Support implementation of audit recommendations and corrective actions for any coding errors.

 Coordinate with billing and revenue cycle teams to address coding-related denials or claim rejections.

 Provide coding input to help resolve discrepancies and support clean claims submission.

 Provide guidance and on-the-job training to junior coders and coding trainees.

 expertise on complex cases, coding updates, and difficult scenarios.

 Participate in coding workshops and knowledge-sharing sessions.

 Stay updated with changes in MOH coding rules, coding classification updates, and reimbursement policies.

 Attend internal or external training to maintain certification and enhance coding skills.

Job Qualifications and Requirements:

4–6 years of progressive coding experience in a hospital setting, with proven experience handling complex inpatient and outpatient coding

 Strong knowledge of MOH coding standards, Saudi data privacy requirements, and CBAHI/JCI accreditation frameworks.

 In-depth experience with ICD-10-AM, ICD-11, DRG grouping, and clinical documentation improvement practices.

 Familiarity with EMR systems and coding software.

Education and Certifications:

Bachelor’s degree in Healthcare Administration, Quality Management or a related healthcare field.

 Professional certification in coding (e.g., CCS, CPC) is preferred.

 Valid registration with the Saudi Commission for Health Specialties (SCFHS).

Skills

Deep technical expertise in coding standards, documentation requirements, and coding compliance.

 Effective problem-solving and analytical abilities to detect trends and recommend solutions.

 Strong written and verbal communication skills to liaise with clinical teams, coders, and hospital executives.

 High level of integrity and respect for patient confidentiality.

 Ability to design and deliver training programs.

 Proficiency in Microsoft Office, EMR platforms, coding software, and audit tools.

 Fluent in Arabic; working proficiency in English for technical, regulatory, and clinical communication.