About this role
Overview
M42 delivers comprehensive healthcare services across the full continuum of care; from primary care to advanced specialty treatments. Leveraging cutting-edge health technologies and precision medicine, we ensure the highest standards of effectiveness, efficiency, and patient-centered outcomes. With a global presence spanning more than 480 facilities in 27 countries and a dedicated workforce of over 20,000 professionals, M42 is uniquely positioned to redefine the future of healthcare on a global scale.
Danat Al Emarat is a world-class specialty women’s and children’s hospital in the Emirate of Abu Dhabi. It offers advanced medical services across specialties including Neonatology, Pediatrics, Obstetrics & Gynecology, and Women’s Health. The hospital is one of the very few to encompass a dedicated Fetal Medicine Department along with a full-fledged Neonatal Intensive Care Unit (NICU) in the UAE. This has established Danat Al Emarat as a regional referral center for women with high-risk pregnancies, supported by its Level III NICU providing care for the most fragile newborns.
The Outpatient Medical Coder is responsible for reviewing outpatient medical records and accurately assigning diagnosis and procedure codes based on clinical documentation, regulatory requirements, and coding guidelines. This role ensures accurate reimbursement, supports compliance with healthcare regulations, and maintains the integrity of patient health records. The Outpatient Medical Coder collaborates closely with physicians, clinicians, and revenue cycle teams to optimize coding accuracy, minimize claim denials, and contribute to efficient healthcare operations. Proficiency in ICD-10-CM, CPT, and HCPCS coding systems, along with a strong understanding of outpatient clinical services, is essential for success in this role.
Responsibilities
- Review outpatient medical records and clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services rendered.
- Ensure coding accuracy, completeness, and compliance with organizational policies, payer requirements, and regulatory standards.
- Analyze physician documentation and query healthcare providers when clarification is required to support accurate code assignment.
- Abstract and enter coded data into electronic health record (EHR) and billing systems within established productivity and quality standards.
- Verify medical necessity and ensure appropriate documentation supports coded services.
- Assist in reducing claim denials and reimbursement delays by identifying and correcting coding discrepancies.
- Conduct coding audits and participate in quality improvement initiatives to maintain coding accuracy and compliance.
- Stay current with changes in coding guidelines, reimbursement methodologies, and healthcare regulations.
- Collaborate with physicians, clinical staff, billing teams, and revenue cycle departments to resolve coding-related issues.
- Maintain confidentiality and security of patient information in accordance with applicable privacy regulations.
- Monitor and report coding trends, documentation gaps, and compliance concerns to management.
- Support external and internal audits by providing coding documentation and clarification as required.
- Meet established productivity, accuracy, and turnaround time targets.
- Participate in coding education programs and provide guidance on documentation improvement when appropriate.
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 (Certified Professional Coder), ICD-10-CM, CPT, and HCPCS