Quality Audit Associate

Job Title: Quality Audit Associate

Company: Accumed
Location: UAE

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