As Saudi Arabia continues transforming its healthcare system, clinical coding and billing have become essential functions in supporting reimbursement accuracy, claims integrity, regulatory compliance, and healthcare data quality. Hospitals, clinics, insurers, and revenue cycle teams increasingly rely on skilled professionals who can translate clinical documentation into standardised codes, support compliant claims submission, and reduce billing errors, denials, and revenue leakage. With the Saudi market using ICD-10-AM, ACHI, and the Saudi Billing System (SBS) for coding and claims standardisation, healthcare organisations require professionals who understand both coding accuracy and financial workflow across the revenue cycle. The Council of Health Insurance (CHI) states that Saudi billing standards are built around ICD-10-AM, ACHI, ACS, and SBS/SBSCS, and are used to standardise claims and mandated reporting in both admitted and non-admitted care.
This course is designed to provide a structured understanding of clinical coding and billing in the Saudi healthcare environment. It covers healthcare billing foundations, coding systems, regulatory requirements, claims workflows, denial management, coding audits, and documentation quality. Participants will also explore coding of diagnoses and procedures, claims processing, appeals, and coding review processes while strengthening readiness for CCP-KSA-oriented learning pathways, which commonly emphasise ICD-10-AM, ACHI, SBS, and revenue cycle application.
By the end of the course, learners will be better equipped to support coding quality, claims accuracy, reimbursement performance, and healthcare compliance across Saudi healthcare organisations.
