Medical Coder-Inpatient
Role Overview
The inpatient medical coder reviews inpatient medical records and assigns diagnostic and procedural codes based on clinical documentation, coding guidelines, and regulatory requirements.
The role supports reimbursement, quality reporting, compliance, and healthcare analytics while maintaining coding integrity and patient data confidentiality.
Key Skills for This Role
Full Job Posting
About the organization
M42 provides healthcare services across primary and specialty care, with more than 480 facilities in 27 countries and over 20,000 professionals.
Danat Al Emarat is a women’s and children’s specialty hospital in Abu Dhabi, with services including neonatology, pediatrics, obstetrics and gynecology, women’s health, fetal medicine, and a Level III NICU.
Role overview
The inpatient medical coder reviews inpatient medical records and assigns diagnostic and procedural codes based on clinical documentation, coding guidelines, and regulatory requirements.
The role supports reimbursement, quality reporting, compliance, and healthcare analytics while maintaining coding integrity and patient data confidentiality.
Responsibilities
- Review inpatient medical records, physician documentation, diagnostic reports, and treatment records to assign ICD-10-CM and ICD-10-PCS codes.
- Analyze complex inpatient encounters and code diagnoses, procedures, complications, comorbidities, and severity of illness accurately.
- Abstract and enter coded data into electronic health records and coding systems within established timelines.
- Ensure compliance with official coding guidelines, regulatory requirements, organizational policies, and payer standards.
- Review clinical documentation for completeness, accuracy, and specificity to support code assignment and reimbursement.
- Query physicians and other healthcare providers when clarification or additional documentation is required.
- Assign and validate DRGs for reimbursement and case classification.
- Collaborate with CDI specialists, physicians, case managers, and revenue cycle teams to improve coding quality and documentation integrity.
- Conduct coding audits and participate in quality assurance activities.
- Identify coding trends, documentation deficiencies, and process improvement opportunities.
- Support internal and external audits with coding rationale and required documentation.
- Monitor coding-related denials and work with relevant departments to resolve coding and documentation issues.
Qualifications
- Bachelor's degree in Health Information Management, Medical Records, Healthcare Administration, Nursing, Pharmacy, or a related healthcare field.
- Professional coding certification such as CPC, ICD-10-CM, CPT, and HCPCS.
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