Clinical Documentation & Coding

• Identify missing clinical documentation and liaise with attending physicians for timely completion.

• Validate clinical evidence to ensure compliance with medical necessity requirements.

• Ensure accurate documentation to support patient risk adjustment and optimal case mix.

• Review outpatient medical records for compliance with current Evaluation & Management (E&M) documentation guidelines.

• Ensure accurate coding of all services to prevent down-coding and revenue leakage.

Claims & Denial Management

• Analyze the root causes of insurance claim rejections and denials.

• Conduct random audits of medical records across departments to identify trends and documentation gaps.

• Recommend corrective actions to minimize recurring claim denials.

• Support billing optimization through accurate documentation and coding practices.

Provider Education & Quality Improvement

• Educate physicians and clinical departments on documentation and coding best practices.

• Develop and deliver training programmers to address recurring documentation and billing errors.

• Promote appropriate resource utilization and reduction of unnecessary costs.

• Provide continuous feedback to improve clinical documentation quality and coding accuracy.

Occupational Safety & Health (OSH) Responsibilities

General Responsibilities

• Implement and comply with OSHAD-SF and NMC Al Ain Occupational Safety & Health Management System (OSHMS/EHSMS) policies, procedures and SOPs.

• Report all hazards, incidents, accidents and near misses in accordance with the incident reporting protocol.

• Comply with all applicable OSHMS/EHSMS policies, standards and workplace procedures.

• Attend mandatory OSH/EHS training and apply safe work practices.

• Take reasonable care of personal health and safety and that of others affected by work activities.

• Wear and maintain all required Personal Protective Equipment (PPE).

• Protect hospital equipment and property from misuse or damage.

• Follow all safety instructions, warning signs and emergency procedures.

• Adhere to all task-specific OSH/EHS requirements.

Leadership Responsibilities

• Lead the development, implementation and continuous improvement of the Occupational Safety & Health Management System.

• Assume overall responsibility for Occupational Health & Safety across all NMC Al Ain facilities.

• Ensure adequate OSH resources, including budget, manpower and equipment.

• Approve and support OSH/EHS policies, procedures, programmers and annual plans.

• Establish and maintain a clear Occupational Safety & Health Policy and ensure it is reviewed annually.

Desired Candidate Profile

• Medical or Allied Health graduate.

• Strong clinical training and healthcare background.

• Internationally recognised Medical Coding certification (e.g., CPC, CCS, CCS-P, CIC, COC, AHIMA or AAPC certification).

• Strong knowledge of medical coding, billing, clinical auditing, insurance approvals and revenue cycle management.

• Auditing certification or formal audit training is preferred.

• Minimum 5 years of clinical experience in a hospital setting.

• Minimum 2 years of supervisory or team leadership experience.

• Excellent analytical, problem-solving and communication skills.

• Proficient in EMR/HIS systems, medical documentation standards and coding guidelines (ICD, CPT/HCPCS, as applicable).

• Strong organisational skills with the ability to manage multiple priorities while maintaining accuracy and compliance.