Claims Quality & Support Associate (Cairo, EG)

Review and inspect operational insurance claims to ensure quality for adjudication, creating clear audit findings, recommendations, and monthly reports aligned with claims management. Apply coding and reimbursement guidelines and validate medical claim documents across channels, including suspected fraud and abuse cases. Independently code and abstract inpatient and outpatient records using ICD-9/ICD-10, CPT, HCPCS, and UB, while auditing and monitoring providers and payers.