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Medical Coder (Immediate Joiner)

Metabolic
Dubai, UAE
Full Time
Mid
Onsite
1 weeks ago
Medical CodingCPT CodingICD CodingHCPCS CodingDenial ManagementClaim Submission
Free

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Medical CodingCPT CodingICD Coding
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About Metabolic.Health

  • Metabolic.Health is an integrated metabolic care provider in the UAE.
  • The organization combines clinical care, diagnostics, and data driven models to improve outcomes in diabetes and metabolic health.

Role Overview

  • The Medical Coder should ensure accurate clinical coding and timely claim submissions/resubmission.
  • You protect revenue by reducing coding errors, preventing denials, and securing appropriate reimbursement.
  • You ensure compliance with DHA regulations and payer requirements.

Key Objectives

  • Operational Accuracy: Ensure precise CPT, ICD, and HCPCS coding for all outpatient encounters; Maintain zero tolerance for upcoding, undercoding, or unbundling.
  • Revenue Protection: Achieve less than 5 percent denial rate related to coding errors; Ensure submissions/resubmission are completed within payer timelines.
  • Compliance: Maintain audit ready coding documentation; Ensure adherence to DHA regulations and UAE payer policies.

Core Responsibilities

  • Clinical Coding: Review patient medical records, including physician notes, test results, charge tickets, and other documentation from outpatient encounters; Ensure coding reflects medical necessity and supports billed services; Clarify incomplete or ambiguous documentation with clinicians; Apply pa
  • Denial Analysis and Resubmissions: Review rejected and denied claims to identify root causes; Correct coding errors and prepare compliant resubmissions; Draft appeal letters with clinical justification and supporting documents; Track resubmission outcomes and escalate unresolved cases.
  • Documentation Integrity: Ensure clinical notes, diagnostic reports, and orders support coded services; Validate alignment between coding, authorization, and billed services; Maintain organized digital records of denials, corrections, and appeals.
  • Payer and TPA Coordination: Liaise with insurance companies and TPAs to clarify denial reasons; Communicate resubmission status to billing, approvals team, and management; Monitor payer policy updates and adjust coding practices accordingly.
  • Systems and Reporting: Use HIS, EclaimLink, and payer portals to manage coding edits and resubmissions; Recommend process improvements to reduce recurring denials.

Requirements

  • Certified Professional Coder credential
  • Bachelor's degree in Health Information Management, Nursing, or related field
  • Strong knowledge of DHA regulations and UAE payer rules
  • Minimum 2 years of coding and denial management experience in the UAE
  • Proficiency in EHR systems, coding tools, and Microsoft Office
  • Strong analytical skills and attention to detail
  • Effective communication with clinical, billing, and insurance teams
  • Experience in outpatient clinics or specialty centers, preferably endocrinology or metabolic care

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