Location
dubai
Posted
June 19, 2026
Commute
Local Area
Local Opportunity Near You!
This job is in your area. Enjoy a short commute and work close to home.
Job Description
What You Do
- Responsible for activities concerned with review and inspection to apply quality standards for operational claim processes and adjudication.
- Creates clear and accurate audit findings and recommendations in written audit processing status codes that provide feedback to examiners used in examiner score cards, identifies error trends and training opportunities.
- Understands, interprets, and applies coding and reimbursement guidelines; provider and Health Plan contracts for professional claims to ensure accuracy.
- Audit, assess, and monitor providers and payers, including physicians, inpatient, outpatient, ancillary, behavioral healthcare, laboratory, etc. medical records, independently codes and abstracts.
- Analyze inpatient and outpatient medical records using ICD‑9/ICD‑10, CPT, HCPCS, UB, and other codes, regulatory and contractual requirements, and generally accepted coding practices.
- Verify and validate claims...