Medical Coder Cum Insurance Coordinator

Job Description

Key Responsibilities

• Assign accurate medical codes using ICD-10-AM, Current Procedural Terminology (CPT), and other applicable healthcare coding standards.
• Prepare, submit, monitor, and follow up on insurance claims through eClaimLink, Daman, Thiqa, and other approved Abu Dhabi insurance providers.
• Coordinate with insurance companies regarding claim approvals, rejections, resubmissions, and reimbursement status.
• Maintain accurate, confidential medical billing records and Electronic Health Records (EHR).
• Liaise with physicians, nurses, reception staff, and other clinic personnel to ensure complete and accurate clinical documentation.
• Review documentation to ensure coding accuracy and compliance with insurance requirements.
• Assist in applying for insurance network participation when required.
• Generate periodic medical coding, billing, insurance, and operational reports for clinic leadership and the Corporate HSE, HR, and Finance Departments.
• Ensure compliance with Department of Health – Abu Dhabi (DOH), UAE Ministry of Health (MOH), NRC/IAEA requirements (where applicable), and internal corporate policies and healthcare protocols.
• Support internal quality audits and external regulatory inspections by maintaining accurate documentation and records.
• Identify coding and billing discrepancies and recommend corrective actions to improve claim acceptance and revenue cycle efficiency.
• Maintain the highest standards of professionalism, confidentiality, and ethical conduct at all times.

Qualifications:

• Bachelor’s Degree or Diploma in Health Information Management, Medical Coding, Nursing, Pharmacy, or another relevant healthcare discipline.
• Minimum 2-3 years of experience as a Medical Coder within a hospital, multi-specialty clinic or primary healthcare setting.
• Valid AAPC certification (e.g., CPC) is mandatory.
• Certified in ICD-10-AM medical coding.
• Strong knowledge of UAE health insurance regulations and claims processes particularly in the Emirate of Abu Dhabi.
• Hands-on experience with eClaimLink, Daman, Thiqa, and other Abu Dhabi insurance platforms.
• Experience using Electronic Health Record (EHR/EMR) systems.
• Proficient in Microsoft Office applications, particularly Excel and Outlook.
• Excellent analytical, organizational, and communication skills.
• Ability to work independently while collaborating effectively with multidisciplinary healthcare teams.
• CPC – Certified Professional Coder or CCSPB-Certified Coder Specialist Physician Based