Medical Billing and Coding Officer

Role Overview

Key Responsibilities

• Review clinical documentation and assign appropriate medical codes.
• Submit insurance claims according to payer requirements.
• Handle resubmissions for rejected, returned, or denied claims.
• Review claim discrepancies, correct errors, and resubmit claims promptly.
• Follow up on submitted and outstanding claims with insurers and payers.
• Verify patient, insurance, authorization, and clinical information before claim submission.
• Apply ICD-10-CM, CPT, HCPCS, and relevant coding guidelines.
• Coordinate with nurses, physicians, and administrative staff on documentation and coding issues.
• Maintain records of claims, rejections, resubmissions, and payments.
• Monitor claims for timely resolution and to minimize revenue loss.
• Lead Tasneef/DOH audit preparation, documentation, submissions, and follow-up.
• Ensure clinical, billing, coding, and compliance records are complete and audit-ready.

Requirements

• Bachelor’s Degree in Nursing (BSN) or equivalent nursing qualification.
• Two to three years of homecare facility experience is mandatory.
• Hands-on experience in medical billing, coding, claim submission, and resubmission.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS.
• Experience handling rejected, denied, and returned claims.
• Experience or strong knowledge of Tasneef audit requirements and processes.
• Knowledge of UAE healthcare insurance and claims processes.
• Familiarity with healthcare billing systems and insurance portals.
• Strong attention to detail, leadership, coordination, and organizational skills.
• Ability to manage multiple priorities and meet strict deadlines.

Preferred Qualifications

• UAE homecare experience with knowledge of DOH requirements is preferred.
• Electronic claims submission and payer portal experience is preferred.
• Relevant medical coding or billing certification is preferred.

Work Location

• Work location is in person.