AccuMed is seeking a Quality Audit Associate to ensure accuracy in clinical coding and claims processing.
Only candidates with Abu Dhabi experience will be considered.
Key Responsibilities:
Conduct retrospective and concurrent audits of coded insurance claims
Ensure compliance with guidelines and international coding standards
Identify inconsistencies in claims data and provider/payer requirements
Analyze payer denials to determine root causes
Provide feedback and training to Clinical Coding and RCM teams
Maintain accurate audit trackers and documentation
Requirements:
Bachelor's degree in medical field or science
Coding certification from AAPC or AHIMA (required)
2-3 years of medical claims auditing experience
Must have Abu Dhabi insurance experience
Expert knowledge of ICD-10-CM/PCS, CPT coding systems
Strong understanding of medical terminology and anatomy
Performance Metrics:
97%+ accuracy in audit findings
Communication of audit feedback within 48 hours
20% improvement in audit program effectiveness
Join our quality-focused team! Apply now.
Note: Only candidates with Abu Dhabi insurance experience will be considered.
Job Types: Full-time, Permanent
Pay: AED1,000.00 - AED2,000.00 per month
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