Inpatient (Ip) Medical Coder

Requirements:
- Minimum 3 years of hands-on experience in Inpatient and Day Case medical coding within the UAE healthcare sector.
- Strong knowledge of DOH Abu Dhabi coding guidelines, claims adjudication rules, and insurance requirements.
- Advanced proficiency in ICD-10-CM, CPT, HCPCS, and hospital DRG coding methodologies.
- Strong hands-on experience in IR-DRG grouping, DRG validation, diagnosis sequencing, CC/MCC identification, severity assessment, and clinical documentation integrity.
- Experience reviewing complex inpatient cases, operative reports, discharge summaries, and medical records to ensure coding accuracy and completeness.
- Ability to identify documentation deficiencies, coding discrepancies, and potential claim rejection risks.
- Experience in DRG audits, denial analysis, coding corrections, and coordination with physicians for documentation clarification.
- Familiarity with hospital HIS/RCM systems and insurance claim submission workflows.
- Mandatory professional certification: CCS (AHIMA) or CIC (AAPC).
- Additional advanced qualifications such as CDIP (AHIMA) or CCDS (ACDIS) will be a strong advantage.
- Demonstrated practical experience with Abu Dhabi IR-DRG requirements is essential.
GENERAL REQUIREMENTS
✅ Previous Abu Dhabi healthcare insurance experience is essential.
✅ Excellent knowledge of insurance processes and regulatory compliance.
✅ Immediate joiners or candidates with a short notice period are preferred.