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Medical Insurance Tpa jobs in Dubai

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    • Familiarity with UAE insurance preauthorization workflows.
    • Ability to interpret medical records.
    • Skills: Strong knowledge of DRG-based reimbursement and UAE…
    • View all TPA jobs - Dubai jobs - Coding Specialist jobs in Dubai
    • Salary Search: In-Patient Coder - with CPC and CCS (TPA Insurance) salaries in Dubai
    • Strong knowledge of DRG coding, UAE billing guidelines, and insurance policy interpretation.
    • Coordinate second medical opinions and referrals to low-cost or…
    • Coordinate with insurance companies, TPAs, and internal medical staff.
    • Ensure compliance with UAE healthcare and insurance regulations.
    • Minimum of 3 years’ experience of the Middle East insurance market.
    • This role is responsible for oversight of three departments within COE Operations, being…
    • Experience in medical coding of 3-5 years’ within IP/OP and DRG claims.
    • The Auditor is responsible for external and internal audits and maintains the reports…
    • Good knowledge of the UAE healthcare and medical insurance environment.
    • 2–5 years of relevant experience in medical provider network management, healthcare…
    • Experience within a TPA, insurance environment, healthcare provider, hospital, medical center, or BPO operation will be highly valued.
    • Identify new insurance partnership opportunities.
    • Lead the empanelment process with major insurance companies and TPAs.
    • Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
    • Preferably 1–2 years of UAE healthcare/medical insurance coding experience.
    • Prepare appropriate resubmission comments and medical justifications.

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Job Post Details

In-Patient Coder - with CPC and CCS (TPA Insurance) - job post

TPA
Dubai
AED9,000 - AED10,000 a month

Job details

Pay

  • AED9,000 - AED10,000 a month

Job type

  • Full-time

Location

Dubai

Full job description

1. JOB PURPOSE

The Inpatient Preauthorization Coder is responsible for reviewing and accurately assigning ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient admissions in compliance with UAE health authority regulations (DHA, HAAD, MOH) and insurance payer policies. This role ensures medical necessity for hospitalizations, facilitates timely preauthorization decisions, and minimizes claim denials for the Third-Party Administrator (TPA).

2. RESPONSIBILITIES AND DUTIES

1. Coding & Clinical Review

· Assign and validate *ICD-10-CM, ICD-10-PCS, and DRG codes* for inpatient admissions based on medical records.

· Strong knowledge of CPT, and HCPCS Level II codes

· Ensure coding aligns with DHA/HAAD/MOH coding standards and supports medical necessity

2. Preauthorization & Utilization Management:

· Review inpatient preauthorization requests against UAE payer policies

· Collaborate with providers to clarify documentation gaps affecting authorization and coding.

· Identify potential utilization trends and areas of fraud waste and abuse

3. Compliance & Regulatory Adherence:

· Ensure compliance with UAE health insurance laws DHA/HAAD/MOH regulations

· Maintain audit-ready records.

· Stay updated on UAE coding updates, insurance circulars, and mandatory reporting requirements.

4. Communication & Stakeholder Coordination:

· Liaise with hospitals, physicians, and insurance companies to resolve coding or authorization disputes.

· Provide feedback to providers on common coding errors leading to rejections

3. KNOWLEDGE, SKILLS AND EXPERIENCE

· Bachelor’s degree in nursing, Allied Health Sciences or a related field (preferred)

· Certifications: Mandatory CPC- Certified Professional Coder, having CIC -Certified Inpatient Coder, CCS -Certified Coding Specialist is an advantage

· Experience: 3+ years of inpatient coding experience, preferably in a UAE hospital, insurance company, or TPA.

· Familiarity with UAE insurance preauthorization workflows

· Skills: Strong knowledge of DRG-based reimbursement and UAE insurance policies.

· Ability to interpret medical records.

· High accuracy in coding (target: ≥95% audit compliance).

· Willingness to work on shifts

Job Type: Full-time

Pay: AED9,000.00 - AED10,000.00 per month

Education:

  • Bachelor's (Preferred)

License/Certification:

  • Certified Professional Coder (Required)
  • Certified Inpatient Coder (Required)

Work Location: In person

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