Case Manager

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

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

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

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

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

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

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.