Job description
We are seeking a Clinical Coding & Claims Analytics Consultant with experience in clinical coding, medical claims analysis, reimbursement methodologies, and healthcare consulting. The role will support the development of clinical rules for claims adjudication, conduct coding and reimbursement analytics, contribute to DRG and grouper initiatives, and deliver consulting projects for healthcare payers, providers, and health system stakeholders. The ideal candidate should possess strong knowledge of clinical coding systems, health insurance operations, claims adjudication workflows, reimbursement frameworks, and healthcare data analytics, with exposure to healthcare markets across the Middle East.
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