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

The Senior Clinical Coding Quality Specialist is responsible for reviewing, auditing, and improving the accuracy, completeness, and consistency of clinical coding across healthcare records and claims documentation. The role focuses on coding quality assurance, clinical documentation review, coding compliance, audit analysis, discrepancy resolution, and performance monitoring. Working fully remotely, the specialist collaborates with medical records teams, clinical documentation improvement professionals, healthcare providers, billing departments, and insurance claims teams to promote reliable coding practices and support accurate healthcare reporting and reimbursement.

Key Responsibilities

• Conduct quality reviews of clinical coding across inpatient, outpatient, emergency, and other healthcare service records.
• Evaluate the accuracy and completeness of diagnostic, procedural, and service codes against supporting clinical documentation.
• Review coding assignments for compliance with applicable coding standards, classification systems, and payer requirements.
• Assess the appropriate application of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, or other relevant coding systems, depending on the healthcare setting.
• Identify coding errors, omissions, inconsistencies, unsupported diagnoses, and inappropriate code selection.
• Review medical records, discharge summaries, physician notes, operative reports, laboratory findings, and other relevant clinical documentation.
• Evaluate documentation quality and identify cases requiring clarification from authorized healthcare professionals.
• Coordinate clinical documentation queries through approved processes without independently creating or altering clinical diagnoses.
• Perform targeted and random coding audits to assess accuracy, compliance, and adherence to internal quality standards.
• Analyze coding error trends, recurring documentation deficiencies, and variations in coding practices across departments.
• Prepare detailed audit findings, corrective action recommendations, and coding quality reports.
• Provide technical guidance and feedback to coding teams on complex coding scenarios and documentation requirements.
• Support the development and maintenance of coding guidelines, audit checklists, reference materials, and standard operating procedures.
• Monitor coding productivity, accuracy rates, audit outcomes, and quality improvement indicators.
• Collaborate with billing and claims teams to investigate coding-related denials, reimbursement discrepancies, and documentation issues.
• Support internal and external audits by organizing coding evidence, review records, and compliance documentation.
• Monitor changes in coding standards, classification updates, payer policies, and relevant healthcare regulatory requirements.
• Contribute to coder training, knowledge-sharing sessions, and continuous improvement initiatives.
• Maintain confidentiality and secure handling of patient health information in accordance with applicable privacy requirements.

Qualifications and Experience

• Bachelor's degree or diploma in Health Information Management, Medical Coding, Health Administration, Nursing, or a related discipline.
• Recognized professional medical coding certification, such as CCS, CPC, CIC, or an equivalent credential, is preferred.
• Significant experience in clinical coding, coding quality assurance, medical records auditing, or healthcare revenue cycle operations.
• Strong knowledge of relevant clinical coding systems and their application across different healthcare settings.
• Experience reviewing complex medical records and validating codes against clinical documentation.
• Understanding of coding compliance, documentation integrity, medical necessity, and reimbursement requirements.
• Familiarity with UAE healthcare coding and payer requirements is an advantage.
• Knowledge of clinical documentation improvement processes and appropriate physician query practices.
• Experience conducting coding audits, preparing quality reports, and monitoring corrective actions.
• Familiarity with electronic health records, coding software, claims platforms, and healthcare information systems.
• Strong analytical skills and excellent attention to detail.
• Ability to interpret medical terminology, clinical documentation, and procedural descriptions accurately.
• Excellent written communication and stakeholder coordination skills.
• Understanding of patient confidentiality, health information governance, and secure data handling.
• Ability to manage multiple audit assignments and meet defined quality and reporting deadlines.
• Ability to work independently and collaborate effectively in a fully remote environment.

What We Offer

• Fully remote working arrangement within the stated UAE-based role framework.
• Opportunity to strengthen clinical coding accuracy and healthcare documentation quality.
• Collaboration with healthcare professionals, coding teams, and revenue cycle specialists.
• A professional environment focused on compliance, data integrity, and continuous quality improvement.
• Opportunities for continued development in clinical coding, health information management, and healthcare auditing.

How to Apply

Interested candidates should submit an updated CV highlighting their clinical coding experience, professional certifications, coding audit capabilities, and familiarity with healthcare information systems.

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. Physical patient assessments, clinical diagnosis, treatment decisions, and amendments to clinical records must be performed by appropriately licensed healthcare professionals. Any regulated coding certification, formal clinical determination, or statutory healthcare reporting requiring professional authorization must be completed or approved by appropriately qualified and authorized personnel.