Medical Coder (Male Only)
We are looking for an experienced Medical Coder (Male) to join our healthcare facility in Abu Dhabi.
Requirements:
- Minimum 2-5 years of Medical Coding experience in Abu Dhabi
- Bachelor's Degree or Diploma in Health Information Management, Nursing, Pharmacy, Medical Laboratory Sciences, Physiotherapy, or another healthcare-related field.
- Valid AAPC or AHIMA Certification (mandatory)
- Experience in insurance pre-authorizations, claims processing, Tasneef Audits, KPI Monitoring, and DOH Audits.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines
- Excellent understanding of DOH coding standards and UAE healthcare regulations
- Ability to review medical records and assign accurate codes
- Strong attention to detail, accuracy, and compliance
- Good communication and documentation skills
- Review outpatient consultation notes, diagnoses, procedures, investigations, and treatment plans for completeness and accuracy.
- Identify documentation gaps, inconsistencies, missing diagnoses, and unclear physician notes.
- Communicate with physicians and clinical staff to obtain documentation clarification and complete medical records.
- Issue compliant clinical documentation queries when required.
- Assign accurate ICD-10, CPT, and other applicable coding classifications.
- Verify medical necessity and ensure documentation supports coding and billing requirements.
- Review insurance eligibility, coverage limitations, exclusions, and authorization requirements.
- Prepare and submit prior authorization requests with supporting clinical documentation.
- Follow up on pending approvals and insurance requests.
- Support claims submission by ensuring records are complete, accurate, and compliant