United Arab Emirates – Transguard Group is looking to hire following staff.
Senior Officer Clinical Audit Jobs in UAE at Transguard Group
About Transguard Group:
Transguard Group was established in 2001 and has diversified significantly, now leading in the fields of Cash Services, Security Services, Manpower Services and Facilities Management. Transguard is the UAE’s most trusted business support and outsourcing provider and has a large, dynamic and culturally diverse workforce numbering in excess of 61,000 people.
1- Senior Officer- Clinical Audit (Medical Provider Audit)
Full Time
Abu Dhabi, UAE
Responsibilities:
A- Follows medical audit operational procedures, Insurance Policies, Regulator guidelines Policy on fraud and abuse, and monitors their adherence so that work is carried out in a controlled manner..
B- Develops and updates procedures manuals to maintain standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue recovery.
C- Evaluates medical records documentation to ensure the diagnostic and procedural codes accurately reflects and supports the reason for encounter and to ensure that data comply with legal standards and guidelines.
D- Ensures to justify with documents and billing rules the stand formulated on coding related disputes with Provider.
Requirements:
A- Minimum Bachelor’s Degree either in medicine or dentistry /paramedic/ healthcare industry.
B- Requires 3 to 5 years of relevant experience.
C- Full Professional Proficiency in English language.
D- CPC/CPMA.
For more details, please scroll down & see the details.
Last Date to Apply: Jan-05-2023