Specialist - Submission Job at SEHA - Abu Dhabi Health Services Company in Abu Dhabi, United Arab Emirates

SEHA - Abu Dhabi Health Services Company is recruiting for a Specialist - Submission opportunity in Abu Dhabi, United Arab Emirates. The position falls under Legal, Compliance & PRO Jobs, is published as full-time, and uses a on-site work arrangement. Current openings can also be followed through the SEHA - Abu Dhabi Health Services Company careers hub.

About the Employer

SEHA is a major healthcare network in Abu Dhabi, operating hospitals and clinics that provide primary, specialist, emergency and complex medical services across the emirate.

Role Overview

Clinical-coding and claims-submission specialist role reviewing medical records and converting documented diagnoses and procedures into accurate codes for authorization, billing, resubmission and reimbursement.

Responsibilities

Review records for coding completeness; abstract clinical information; assign diagnosis, procedure, pre-authorization and E&M codes; query physicians where documentation is unclear; obtain missing documentation; ensure correct coding and sequencing; audit claims for payer, coding and billing compliance; identify billing discrepancies and revenue leakage; provide coding data for quality and medical audits; validate encoded information; monitor chart completion and defaulters; review denials/resubmissions; collaborate with coders, billers, physicians and operations; stay current with coding and insurance changes; and maintain regulatory training and certifications.

Requirements and Qualifications

Bachelor's degree in Health Information Management or a relevant field, or a diploma plus three additional years of healthcare experience. A Master's degree or equivalent in Health Information Management/relevant field is desirable.

Skills

• Clinical coding, medical-record abstraction, claims auditing, E&M coding, pre-authorization, denial/resubmission review, payer compliance and multidisciplinary problem solving.

Published Listing Details

LinkedIn posting time shown in the listing: 3 months ago.

How to Apply

Apply through the direct job-specific page published for this vacancy and review the role requirements before submitting your application.

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Job Overview