✨ AI Summary
The Group Auditor - IP Coding is responsible for performing detailed audits of inpatient cases, including documentation, coding, charge capture, medical necessity, LOS justification, and DRG placement. This role evaluates adherence to UAE payer rules, DRG guidelines, and internal standards across multiple hospitals. The Auditor collaborates with various teams to communicate findings, drive corrective actions, and monitor improvements, while also supporting external audit preparedness and internal risk mitigation.
Qualifications include a Bachelor's degree in nursing, Life Sciences, Health Information Management, or Healthcare Administration, and a valid Coding certification (AAPC or AHIMA). Key skills include a deep understanding of the UAE DRG system, inpatient coding, billing workflows, medical necessity guidelines, strong analytical skills, and proficiency in EMR, HIS, coding systems, and audit tools. A minimum of 4-6 years of experience in inpatient coding/auditing or RCM operations within a UAE healthcare organization is required.
Requirements
Requires a Bachelor's degree in nursing, Life Sciences, Health Information Management, or Healthcare Administration, along with a valid Coding certification (AAPC or AHIMA). Must have a deep understanding of the UAE DRG system, inpatient coding, billing workflows, medical necessity guidelines, and strong analytical skills. Proficiency in EMR, HIS, coding systems, and audit tools is essential, along with strong communication and collaboration abilities. A minimum of 4-6 years of experience in inpatient coding/auditing or RCM operations within a UAE healthcare organization is required.
Description
Group Auditor - IP Coding performs detailed audits of inpatient cases, including documentation, coding, charge capture, medical necessity, LOS justification, and DRG placement. The role evaluates adherence to UAE payer rules, DRG guidelines, and internal standards across multiple hospitals. The Auditor collaborates closely with coding, CDI, revenue integrity, case management, and clinical teams to communicate findings, drive corrective actions, and monitor improvements. The position also supports external audit preparedness, internal risk mitigation, and enterprise-wide compliance initiatives.