- Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans;
- Audit, assess, and monitor providers and payers, to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral healthcare, laboratory, etc. medical records, and independently codes, and abstracts.
- Analyze inpatient and outpatient medical records using most current International Classification of Diseases (ICD-9/ICD-10),Current Procedural Terminology (CPT), Health Care Common Procedure Coding System (HCPCS), Universal Billing (UB) and other codes, regulatory and contractual requirements, and generally accepted coding practices.
- Verify and validate claims documents received through multiple channels to rule out possibility of documentation / coding errors or other inconsistencies that may occur in case of suspected fraud and abuse cases.
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Resilience Assurance Officer
منذ أسبوع
SSC Egypt Cairo, مصرCollaborate with other teams within Security & Resilience group to contribute towards continuous improvement across the function · Provide regular updates on the Bank's Security and Business Continuity capability, KPIs and metrics to the relevant board/senior management committee ...
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Senior Java Developer
منذ 5 أيام
emaratech محافظة القاهرة, مصر**emaratech (emarat Technology Solutions), a Dubai (U.A.E) based technology and professional services company that specializes in providing consulting, outsourced technology and business strategy solutions for the global corporate and government entities in the Middle East. · We ...
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QA Lead
منذ 3 أيام
DXC Technology Cairo, مصر**Overview**:Quality Assurance refers to a proactive process implemented throughout the entire product development lifecycle. It encompasses all the planned and systematic activities that are designed to ensure that a product or service meets specified quality requirements. QA fo ...
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Quality Team Manager
منذ أسبوع
JOBMASTER Human Capital Solutions Cairo, مصر. Ensure that incoming material meets the company specifications and that any deviations are accurately and immediately communicated to the material control department.. Ensure batch and product sampling, testing, and release to the trade is conducted as per standard, and accurat ...
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Senior Java Developer
منذ 4 أيام
emaratech Job Openings محافظة القاهرة, مصرemaratech (emarat Technology Solutions), a Dubai (U.A.E) based technology and professional services company that specializes in providing consulting, outsourced technology and business strategy solutions for the global corporate and government entities in the Middle East. · We ar ...
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National Excellence Management
منذ 4 أيام
Kuehne+Nagel Cairo, مصرWe deliver high quality solutions to our customers and we are leaders in the logistics industry. Join us and become a part of our great team. · - ** Your Role **:Support Key Account Customers along the customer engagement cycle to maintain and extend Kuehne + Nagel's share of wal ...
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Sr. Salesforce Developer, Egypt
منذ أسبوع
Coptic Orphans Cairo, مصر**Sr**.** Salesforce Developer**,** Egypt** · **Purpose of the Job** · This position is accountable for Coptic Orphans' technology solution design, development, implementation, and maintenance. With solid experience in CRM system development, The position's responsibilities inclu ...
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Store Manager
منذ أسبوع
Dice Cairo, مصر✦ Inventory Management ✦ Employee Staffing and Training ✦ Handling Customer Complaints and Queries ✦ Sales and Revenue Management ✦ Ensuring Employee Satisfaction ✦ Formulating Advertising and Marketing Policies · All government · The core business of Dice Ready made garment is t ...
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Project Management Intern
منذ أسبوع
Motorola Solutions محافظة القاهرة, مصر**Company Overview**: · At Motorola Solutions, we believe that everything starts with safety. It's the constant that empowers people to confidently move forward. It can fill a flight or sell out a stadium. It can care for a patient or graduate a class. · As a global leader in pub ...
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Hse Manager- Egyptian National
منذ 5 أيام
Talent Pal Cairo, مصر**HSE Manager · - Egyptian National**: · - Location: · Cairo, Egypt · - Contact: · Salem Mubarak · confidential · - Job ref: · 195 · - Published: · 4 days ago · - Expiry date: · Paragon GE is looking for an HSE Manager for a position with an E&P company in Egypt. This opportunity ...
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Servicenow Business Analyst
منذ 3 أيام
Orange Business Cairo, مصر**About the role**: · **Job purpose** · The OBS IT department is in charge of decision-making information systems, serving Orange Business Services different line of businesses such as marketing, pre-sales, sales, production, after-sales services, and customer-service for both Fr ...
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Desktop Publisher
منذ أسبوع
JOBMASTER Human Capital Solutions Gîza, مصر. Preferred to have previous experience with using localizing tools. Be able to produce a high standard on a consistent basis and have good organizational and time management skills. Give attention to details and the ability to work under pressure and tight deadlines · - Very goo ...
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Revenue Assurance Accountant
منذ أسبوع
Bosta Egypt Cairo, مصرAs part of the Revenue Assurance team, the revenue assurance officer will be responsible for ensuring that revenue risks & any potential revenue leakage are timely identified and addressed, implementing established processes to audit internal controls across the entire revenue cy ...
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CS Quality Assurance Analyst
منذ أسبوع
Nok Human Capital Cairo, مصرNOK Human Capital is hiring CS Quality Assurance Analyst for IntouchCX a global BPO leader in customer support industry. · About The Job · Were changing the way people think about customer service and we need your help · Were looking for a CS Quality Assurance Analyst to monito ...
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CS Quality Assurance Analyst
منذ أسبوع
Nok Human Capital Cairo, مصرNOK Human Capital is hiring " CS Quality Assurance Analyst" for IntouchCX, a global BPO leader in customer support industry. · About The Job · We're changing the way people think about customer service, and we need your help · We're looking for a " CS Quality Assurance Analyst ...
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Senior Development Manager
منذ أسبوع
al futtiam Cairo, مصرFor our office in Pune, we are looking for a Quality & Process Manager to join our continuously growing team · As a Quality & Process Manager you will inspect the final tasks, to make sure they have been completed in compliance with legal standards and meet customer expectations ...
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Front Office Manager
منذ أسبوع
Radisson Hotel Group Cairo, مصرCareer in Aristocrat Involves remote modality and several cutting edge stipend linked corporate certification in house ; · Send you CV to (WhatsApp) · (or) · Send you CV to · Content Creation: As a Scientific Content Specialist, your primary responsibility is to create high-qua ...
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Secretary
منذ أسبوع
Perfect Vision Cairo, مصرJob Description · It is preferable that the applicant be a resident of Cairo . · Answer all incoming calls and handle caller's inquiries . · Responsible for all office admin work& quality assurance . · Greet visitors, determine their needs and direct visitors to the appropriate s ...
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CEO - IT Software - Cairo Egypt
منذ أسبوع
cairo governorate egypt Cairo, مصرResponsibilty: · Provide inspired leadership company-wide. · Make high-level decisions about policy and strategy. · Report to the board of directors and keep them informed. · Develop and implement operational policies and a strategic plan. · Act as the primary spokesperson for th ...
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CEO - IT Software - Cairo Egypt
منذ أسبوع
Cairo Governorate, EgyptCairo Cairo, مصرResponsiblity: · Provide inspired leadership company-wide. · Make high-level decisions about policy and strategy. · Report to the board of directors and keep them informed. · Develop and implement operational policies and a strategic plan. · Act as the primary spokesperson for th ...