Inpatient Preauthorization Coder
At a Glance
- Category
- 🏥 Healthcare
- Level
- Mid-Level
- Experience
- 3+ years
- Type
- Full-time
What's Your Score?
- See the score your CV gets before you apply to Cigna
- Get every weak line rewritten
- Download a CV written for the Gulf
Free check in 60 seconds. Fixes $5.88 one-time, only if you want them.
Statements in this Job Description are intended to reflect, in general, the duties and responsibilities of the position, but they
are not to be interpreted as totally inclusive. NAS Neuron Heath Services LLC is an equal opportunity employer.
Internal Information - Do Not Distribute
JOB DESCRIPTION
POSITION: Inpatient Pre-authorization Coder
REPORTING TO: Manager – IP Authorization
DEPARTMENT: Operations – InPatient Authorization
1.
JOB PURPOSE
The Inpatient Preauthorization Coder is responsible for reviewing and accurately assigning ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient admissions in compliance with UAE health authority regulations (DHA, HAAD, MOH) and insurance payer policies. This role ensures medical necessity for hospitalizations, facilitates timely preauthorization decisions, and minimizes claim denials for the Third-Party Administrator (TPA).
2.
RESPONSIBILITIES AND DUTIES
1.
Coding & Clinical Review
•
Assign and validate *ICD-10-CM, ICD-10-PCS, and DRG codes* for inpatient admissions based on medical records.
•
Strong knowledge of CPT, and HCPCS Level II codes.
•
Ensure coding aligns with DHA/HAAD/MOH coding standards and supports medical necessity.
2.
Preauthorization & Utilization Management
•
Review inpatient preauthorization requests against UAE payer policies.
•
Collaborate with providers to clarify documentation gaps affecting authorization and coding.
•
Identify potential utilization trends and areas of fraud waste and abuse.
3.
Compliance & Regulatory Adherence
•
Ensure compliance with UAE health insurance laws DHA/HAAD/MOH regulations.
•
Maintain audit-ready records.
•
Stay updated on UAE coding updates, insurance circulars, and mandatory reporting requirements.
4.
Communication & Stakeholder Coordination
Statements in this Job Description are intended to reflect, in general, the duties and responsibilities of the position, but they
are not to be interpreted as totally inclusive. NAS Neuron Heath Services LLC is an equal opportunity employer.
Internal Information - Do Not Distribute
•
Liaise with hospitals, physicians, and insurance companies to resolve coding or authorization disputes.
•
Provide feedback to providers on common coding errors leading to rejections
3.
KNOWLEDGE, SKILLS AND EXPERIENCE
•
Bachelor’s degree in nursing, Allied Health Sciences or a related field (preferred).
•
Certifications: Mandatory CPC- Certified Professional Coder, having CIC -Certified Inpatient Coder, CCS -Certified Coding Specialist is an advantage.
•
Experience: 3 years of inpatient coding experience, preferably in a UAE hospital, insurance company, or TPA.
•
Familiarity with UAE insurance preauthorization workflows.
•
Skills: Strong knowledge of DRG-based reimbursement and UAE insurance policies.
•
Ability to interpret medical records.
•
High accuracy in coding (target: ≥95% audit compliance).
•
Willingness to work in shifts.
4.
COMMUNICATIONS AND WORKING RELATIONSHIPS
The job holder interacts with all Departments within NNHS and other service providers. He/ She must ensure seamless communication between all departments for the smooth operations and to achieve the organizational objective. He/ She must be able to foster strong internal & external communication standards.
5.
OPERATING ENVIRONMENT
He/she works in an air-conditioned environment and spends most of the day at desk. The Jobholder’s working hours are flexible as per weekly schedule within the boundaries of the UAE labor law. The job holder is not exposed to any obvious hazards.
Disclaimer:
I hereby confirm that I have read the general outline of duties and responsibilities expected of me and I hereby confirm readiness and acceptance.
Signature:
_________________
Name of Employee Date:
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA cigna.com for support. Do not email SeeYourselfEMEA cigna.com for an update on your application or to provide your resume as you will not receive a response.
Requirements
- •Bachelor’s degree in nursing, Allied Health Sciences or a related field (preferred)
- •Mandatory CPC - Certified Professional Coder certification
- •3 years of inpatient coding experience
- •Experience in a UAE hospital, insurance company, or TPA preferred
- •Familiarity with UAE insurance preauthorization workflows
- •Strong knowledge of DRG-based reimbursement and UAE insurance policies
- •Ability to interpret medical records
- •High accuracy in coding (target: ≥95% audit compliance)
Nice to Have
- •CIC - Certified Inpatient Coder certification
- •CCS - Certified Coding Specialist certification
Responsibilities
- •Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient admissions
- •Ensure coding aligns with DHA/HAAD/MOH coding standards and supports medical necessity
- •Review inpatient preauthorization requests against UAE payer policies
- •Collaborate with providers to clarify documentation gaps affecting authorization and coding
- •Identify potential utilization trends and areas of fraud waste and abuse
- •Ensure compliance with UAE health insurance laws and DHA/HAAD/MOH regulations
- •Maintain audit-ready records
- •Liaise with hospitals, physicians, and insurance companies to resolve coding or authorization disputes
Related Jobs4 similar jobs
- See the score your CV gets before you apply to Cigna
- Get every weak line rewritten
- Download a CV written for the Gulf
Free check in 60 seconds. Fixes $5.88 one-time, only if you want them.
Cigna offers health insurance, pharmacy benefit management, and related services. It serves individuals, employers, and government organizations worldwide.