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Confidential | dubai, United-Arab-Emirates | Posted June 16, 2026
Position Overview
Responsibilities - Review and inspect operational claim processes and adjudication to apply quality standards.
- Create clear audit findings and recommendations in written audit processing status codes, provide feedback to examiners used in examiner score cards, and identify error trends and training opportunities.
- Understand, interpret, and apply coding and reimbursement guidelines; provider and health plan contracts for professional claims to ensure accuracy.
- Audit, assess, and monitor providers and payers (physicians, inpatient, outpatient, ancillary, behavioral healthcare, laboratory, etc.), including independent coding and abstraction of medical records.
- Analyze inpatient and outpatient medical records using ICD-9/ICD-10, CPT, HCPCS, UB, and other codes, ensuring compliance with regulatory and contractual requirements.
- Verify and validate claims documents received through multiple channels, ruling out documentation/cod...