Insurance Coordinator

Job Overview

Key Responsibilities

• Ensure 100% claim submission of IBO Medical center within the agreed time frame.
• Review outpatient clinical documentation and assign accurate CPT, ICD-10, and HCPCS codes.
• Validate insurance approvals, coverage policies, and coding requirements before claim submission.
• Cross-check diagnosis and procedure code with physician documentation for consistency.
• Collaborate with doctors and clinical staff to clarify diagnoses or obtain missing information.
• Support the billing team in resolving claim rejections or denials due to coding discrepancies.
• Keep updated with insurance guidelines, coding rule changes, and payer-specific circulars.
• Generate coding-related audit reports to ensure documentation and billing accuracy.
• Assist in internal and external audits, including compliance checks and pre-insurance assessments.
• Participate in ongoing training sessions and contribute to improving coding workflows
• Ensure proper documentation in patient records and hospital systems.
• Ensure coding accuracy and compliance with DHA/MOH/DOH regulations and payer- specific requirements
• Closely work with claim processing team to ensure timely claim submission (2nd of every Month) and resubmission (21 days) process is carried out effectively ·

Qualification & Experience

• Bachelor’s Degree in a medical or healthcare-related field.
• Minimum 2–3 years of UAE experience in medical coding, specifically outpatient coding.
• Familiarity with DHA/MOH/DOH insurance regulations and payer portals (e.g., eClaimLink, Riayati, Shafafiya).
• Certified Professional Coder (CPC) or equivalent certification (AAPC/AHIMA recognized).
• Strong interpersonal and communication skills
• Fluency in English (Arabic is an advantage)
• Sound knowledge of CPT, ICD-10, and HCPCS coding systems.
• Proficient in Microsoft Office and EMR/HIS systems.