Senior Clinical Coding Quality Specialist

Job Title: Senior Clinical Coding Quality Specialist

Location: United Arab Emirates (Remote)

Employment Type: Full-Time

Work Arrangement: 100% Remote — Work From Home

Level: Senior

About the Role

We are seeking an experienced Senior Clinical Coding Quality Specialist to oversee the accuracy, consistency, and compliance of clinical coding across healthcare records, claims, and medical documentation. The successful candidate will conduct coding audits, evaluate clinical documentation, identify coding discrepancies, and provide guidance to coding teams to improve data quality, reimbursement accuracy, and regulatory compliance.

This fully remote role requires advanced knowledge of medical terminology, clinical coding standards, healthcare documentation, coding audit methodologies, and quality assurance practices. The specialist will collaborate with clinical teams, medical records departments, health information management professionals, billing teams, and healthcare compliance stakeholders.

Key Responsibilities

• Conduct detailed quality reviews of clinical coding across inpatient, outpatient, emergency, and other healthcare service records.
• Evaluate the accuracy and completeness of diagnosis and procedure codes assigned to medical records.
• Review clinical documentation to confirm that assigned codes are supported by the available medical evidence.
• Identify coding errors, omissions, inconsistencies, duplication, and unsupported code assignments.
• Perform routine and targeted coding audits in accordance with established quality standards.
• Assess compliance with applicable coding classifications, including ICD-10-CM, ICD-10-PCS, CPT, HCPCS, or other relevant systems.
• Review principal diagnoses, secondary diagnoses, comorbidities, complications, and procedure coding where applicable.
• Evaluate the appropriate application of coding guidelines, sequencing rules, and documentation requirements.
• Investigate discrepancies between clinical records, coded data, billing records, and submitted healthcare claims.
• Prepare coding audit reports, quality scorecards, trend analyses, and corrective action recommendations.
• Provide technical feedback and clarification to clinical coding teams regarding complex coding cases.
• Support the development and delivery of coding education, refresher training, and quality improvement initiatives.
• Monitor coding accuracy, productivity, compliance trends, and recurring error patterns.
• Coordinate with physicians and clinical documentation improvement teams to clarify incomplete or ambiguous documentation through approved processes.
• Support clinical documentation improvement initiatives to strengthen the accuracy and completeness of medical records.
• Review coding-related claim denials, reimbursement adjustments, and audit findings to identify root causes.
• Maintain coding quality guidelines, audit documentation, reference materials, and issue logs.
• Monitor updates to coding standards, payer requirements, healthcare regulations, and reimbursement policies.
• Support internal and external audits by preparing relevant coding records, review evidence, and quality documentation.
• Recommend improvements to coding workflows, review procedures, and quality monitoring frameworks.
• Contribute to the evaluation of automated coding tools and clinical coding software.
• Ensure that confidential patient information is handled securely and in accordance with applicable privacy requirements.

Qualifications and Experience

• Bachelor's degree in Health Information Management, Health Informatics, Nursing, Clinical Sciences, or a related healthcare discipline.
• Significant professional experience in clinical coding, coding quality assurance, health information management, or medical claims auditing.
• Strong understanding of medical terminology, anatomy, physiology, and clinical documentation.
• Advanced knowledge of applicable diagnosis and procedure coding classifications, such as ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
• Experience conducting coding audits, accuracy reviews, and documentation quality assessments.
• Understanding of coding guidelines, sequencing requirements, and clinical documentation standards.
• Ability to interpret complex medical records and assess whether coding assignments are clinically supported.
• Familiarity with inpatient, outpatient, emergency, and specialist healthcare coding workflows.
• Knowledge of clinical documentation improvement principles and compliant physician query practices.
• Understanding of healthcare billing, reimbursement methodologies, payer requirements, and claims adjudication processes.
• Experience investigating coding discrepancies, claim denials, and audit findings.
• Familiarity with electronic health records, health information management platforms, and coding audit software.
• Strong analytical, research, and problem-solving capabilities.
• Excellent written communication and ability to provide clear technical coding feedback.
• High attention to detail and commitment to patient data confidentiality.
• Ability to manage multiple audit assignments, meet deadlines, and work independently in a remote environment.
• Relevant professional credentials, such as CCS, CPC, CIC, or equivalent clinical coding and health information management certifications, are desirable.

What We Offer

• A 100% remote working arrangement within the UAE employment context.
• Opportunities to contribute to healthcare data quality and clinical coding improvement.
• Exposure to diverse healthcare documentation, coding standards, and quality assurance practices.
• Professional development in clinical coding, health information management, and compliance.
• A collaborative environment focused on accuracy, confidentiality, and continuous improvement.

How to Apply

Interested candidates should submit an updated CV highlighting their clinical coding experience, coding audit expertise, familiarity with relevant classification systems, and professional certifications.

Application Subject: Application – Senior Clinical Coding Quality Specialist (UAE Remote)

Candidates should confirm applicable employment arrangements, residency requirements, and work authorization before accepting an offer. Any clinical decisions, formal coding certifications, regulated healthcare activities, or official submissions requiring professional authorization must be performed or approved by appropriately qualified and authorized personnel in accordance with applicable laws and professional standards.