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Senior Medical Coder
Senior Medical Coder
Job details
Full job description
Senior Medical Coder
Company: Al Zaabi Group
Division: Healthcare
Location: Abu Dhabi, UAE
Employment Type: Full-Time
Job Summary
Al Zaabi Group is seeking an experienced Senior Medical Coder to manage accurate medical coding, claims review, documentation validation, and insurance-related coding activities across its healthcare facilities.
The role requires strong knowledge of ICD-10-CM, CPT, HCPCS and UAE healthcare insurance requirements, with a focus on coding accuracy, compliance, revenue optimization, and reduction of insurance claim rejections.
Key Responsibilities
- Review patient medical records and assign accurate ICD-10-CM, CPT and HCPCS codes based on clinical documentation.
- Ensure coding is accurate, complete, compliant, and aligned with DOH Abu Dhabi and applicable payer requirements.
- Review outpatient, procedure, diagnostic, and other healthcare claims before submission.
- Perform detailed coding audits to identify errors, missed charges, incorrect coding, under-coding, or documentation gaps.
- Work closely with doctors and clinical teams to clarify incomplete or insufficient documentation.
- Ensure proper linkage between diagnoses, procedures, investigations, and services rendered.
- Review rejected and denied claims to identify coding-related root causes and support timely correction and resubmission.
- Coordinate with the Insurance, Billing, Revenue Cycle, Finance, and Clinical teams to improve claim acceptance rates.
- Monitor coding-related denials and recommend corrective and preventive actions.
- Stay updated on changes in coding guidelines, payer policies, DOH requirements, and insurance regulations.
- Support the implementation and maintenance of standardized coding practices across healthcare facilities.
- Conduct periodic internal coding audits and prepare reports for management.
- Provide guidance and support to junior medical coders and other relevant team members.
- Assist in training clinical staff regarding documentation requirements that impact coding and reimbursement.
- Maintain strict confidentiality of patient medical and financial information.
- Ensure all coding activities comply with organizational policies and applicable UAE healthcare regulations.
Qualifications & Experience
- Bachelor's degree or relevant qualification in Healthcare, Medical Coding, Health Information Management, or a related field.
- Recognized Medical Coding Certification such as CPC, CCS, CCA, or equivalent is strongly preferred.
- Minimum 3–5 years of medical coding experience, preferably within hospitals, medical centres, day surgery centres, or healthcare groups in the UAE.
- Strong UAE healthcare insurance and claims experience.
- Good working knowledge of ICD-10-CM, CPT and HCPCS coding systems.
- Knowledge of DOH Abu Dhabi regulations and payer requirements is highly preferred.
- Experience handling claim denials, coding audits, and resubmissions is an advantage.
Skills & Competencies
- Excellent medical terminology and coding knowledge.
- Strong analytical and auditing skills.
- High level of accuracy and attention to detail.
- Good understanding of healthcare revenue cycle processes.
- Strong problem-solving and denial-management capabilities.
- Ability to communicate effectively with doctors and clinical teams.
- Ability to manage high-volume coding requirements within deadlines.
- Good reporting and MS Office skills.
- Strong team coordination and mentoring abilities.
Key Performance Indicators (KPIs)
Performance will be evaluated based on coding accuracy, claim acceptance rate, reduction in coding-related denials, turnaround time, audit compliance, documentation quality, timely claim correction, and contribution to revenue cycle efficiency.
Pay: AED3,140.24 - AED6,000.50 per month
Work Location: In person