OP Medical Coder

NMC Healthcare
Sharjah
Workplace: OnsiteFull timeFunction: Healthcare (Clinical, Medical, Wellness)Education: bachelorsSkills: ["Attention to detail","Documentation review","Coding accuracy","Communication","Coordination"]

Verify and code outpatient claims using ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for submission to insurance companies. Review UCF/discharge summaries for documentation and coding discrepancies, assign correct codes for new services, upload e-claims to the required portals, and produce daily discrepancy and implementation reports. Coordinate with physicians, insurance doctors/medical teams, and billing staff for resubmission, follow-up, reconciliation, and final sign-off, including clinician/cashier support on coding requirements.

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FursaFursa
NMC Healthcare
NMC Healthcare
2 days ago

OP Medical Coder

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Source: Company careers pageValidated by: Fursa AI
Last checked: 19 hours agoStatus: Live

Job Summary

Verify and code outpatient claims using ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for submission to insurance companies. Review UCF/discharge summaries for documentation and coding discrepancies, assign correct codes for new services, upload e-claims to the required portals, and produce daily discrepancy and implementation reports. Coordinate with physicians, insurance doctors/medical teams, and billing staff for resubmission, follow-up, reconciliation, and final sign-off, including clinician/cashier support on coding requirements.
Location: Sharjah
Workplace: Onsite
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

  • •Verify ICD-10-CM diagnosis codes and relevant CPT/HCPCS codes on UCF/discharge summaries for submission to insurance companies.
  • •Identify exclusions and non-billable codes; report variations or irrelevance in the CPT codes used for procedures.
  • •Upload and manage outpatient e-claims, including submission and resubmission via required portals (e.g., DHPO).
  • •Coordinate with physicians/consultants and insurance doctors/medical teams for clarifications, rejections, reconciliation, and final sign-off.
  • •Prepare and share daily audit findings, reports/feedback on ICD/CPT coding implementation, and provide training/support material for related teams.

Key Requirements

  • •Verify ICD-10-CM and relevant CPT/HCPCS codes on UCF/discharge summaries for outpatient claims submission.
  • •Ensure correct assignment of CPT/HCPCS codes for newly added services/procedures and identify codes that are excluded or not billable.
  • •Coordinate with physicians for missing or unclear documentation and provide clarifications on ICD/CPT code selection and rejections.
  • •Maintain certification as a must (AAPC or AHIMA) and have a bachelor’s degree from an accredited college/university; nursing/pharmacy/physiotherapy degrees preferred.
  • •Enter codes into the software application and adhere to company policies and procedures.
Education:Bachelor's in Nursing, pharmacy, physiotherapy (preferred)
Skills:Attention to detailDocumentation reviewCoding accuracyCommunicationCoordination
Certifications:AAPCAHIMA
Tech Stack:ICD-10-CMCPTHCPCSE-claimsUCFDischarge summaryDHPOSoftware application

Company Brief

NMC Healthcare
Operates a large network of hospitals, medical centers, and specialty clinics across the UAE and the wider Middle East. Provides general and specialized healthcare services, diagnostics, and outpatient care for individuals and families.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Abu Dhabi, United Arab Emirates
Founded: 1975
WebsiteLinkedIn