Resubmission Officer
Quick summary
Job Overview
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Date PostedNovember 10, 2026
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Location
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Job TypeFull Time
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ExperienceRelevant Eperience
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QualificationRelevant Qualification
Job Description
Perform accurate medical coding based on clinical documentation.
– Review medical records and ensure compliance with DOH Abu Dhabi and insurance guidelines.
– Handle rejected, denied, and pending insurance claims.
– Analyze rejection reasons and take corrective action for successful resubmission.
– Manage daily claim resubmissions through CORTEX and Shafafiya.
– Coordinate with doctors and relevant departments for missing documentation and medical justifications.
– Monitor claim ageing, resubmission deadlines, and recovery rates.
– Identify recurring rejection patterns and minimize revenue leakage.
– Prepare regular rejection and resubmission performance reports.
🔹 Requirements :
– CPC or CCS certification.
– Minimum 2 years of UAE medical coding and resubmission experience.
– Strong knowledge of ICD-10-CM, CPT, and E&M coding.
– Hands-on experience with CORTEX and Shafafiya.
– Good understanding of UAE insurance policies, claim rejections, and resubmission procedures.
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