Medical Coder

Role Overview

Technical Responsibilities

• Review and analyze patient records to identify relevant diagnoses and procedures.
• Assign accurate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
• Ensure compliance with regulatory standards, payer requirements, and hospital policies.
• Collaborate with physicians and healthcare providers to clarify diagnoses and treatments.
• Resolve coding discrepancies and claim denials with the billing department.
• Maintain patient record confidentiality and integrity.
• Stay updated on coding standards, healthcare regulations, and industry best practices.

Quality and Safety

• Maintain service quality and support continuous improvement initiatives.
• Comply with safety, quality-control, environmental safety, and infection-control procedures.
• Maintain safety and quality-assurance standards.
• Support clinical audits and submit reports as required.
• Communicate professionally with patients, families, and healthcare personnel.

Continuous Education

• Participate in staff education, induction, peer reviews, case studies, clinical presentations, departmental programmes, committees, and meetings.
• Support the orientation and training of new employees.
• Maintain professional knowledge through lectures, seminars, and online learning.
• Complete licensing, certification, and mandatory training requirements within specified timelines.
• Apply technical knowledge of anatomy, physiology, and related sciences.

Occupational Safety and Health

• Comply with occupational safety, health management system, and infection-control policies and procedures.
• Report hazards, incidents, near misses, and safety concerns.
• Assist with risk assessments and incident reports.
• Attend required safety and infection-control training, awareness programmes, and mock drills.
• Follow safe working procedures, use appropriate personal protective equipment, and understand emergency procedures.
• Follow waste-management procedures and participate in safety audits and inspections.

Infection Prevention and Control

• Comply with the NMC infection prevention and control policy and strategy.
• Maintain cleanliness and environmental hygiene to minimize infection risks.
• Follow the five moments of hand hygiene and the bare-below-the-elbows requirement.

Qualifications and Skills

• Certification in medical coding, such as CPC, CCS, or an equivalent certification.
• In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Familiarity with medical terminology, anatomy, and physiology.
• Knowledge of hospital information systems and coding software.
• Strong attention to detail and analytical skills.
• Effective communication with clinical and administrative teams.
• Self-motivated and able to work under pressure.
• Fluent in spoken and written English; Arabic is an advantage.
• Proficient in IT applications and adaptable with good time-management skills.