Clinical Audit Senior Officer Jobs in Dubai | Transguard Careers

Clinical Audit Senior Officer Jobs in Dubai | Transguard Careers

1- Senior Officer- Clinical Audit
Job: Full Time
Location: Dubai, UAE


To execute strategies under guidance of Manager to sample, analyse, identify and audit medical (including dental where relevant) claims to reduce fraud, wastage, abuse or errors (FWAE) from providers. Makes best use of tools made available for analytics and research to detect and control cases while ensuring smooth operations including compliance with insurance policies and set company standards, procedures and guidelines and provisions of regulatory bodies and Provider Contracts.

Job Responsibilities:

  • 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.
  • Develops and updates procedures manuals to maintain standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue recovery.
  • Performs day-to-day operations of remote and on-site Audit of medical / dental claims to detect misuse/abuse/fraud/errors and ensure that work processes are implemented as designed and comply with established standards and procedures and desired recoveries/ results are achieved.
  • 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.

Job Requirements:

  • Minimum Bachelor’s Degree either in medicine or dentistry /paramedic/ healthcare industry
  • Requires 3 to 5 years of relevant experience
  • Full Professional Proficiency in English language

For more details, please scroll down & see the details.

Company Overview:

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.

Official Website:

UAE – Transguard Group Jobs 2023

TitleClinical Audit Senior Officer Jobs in Dubai | Transguard Careers
Hiring OrganizationTransguard Group
Job LocationDubai, United Arab Emirates
Date PostedMar/17/2023
Base SalaryAED
Employment TypeFull Time
Valid UntilMay/16/2023

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Clinical Audit Senior Officer Jobs in Dubai | Transguard Careers
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*This Jobs was Originally Posted on Transguard Group Job Site..