Medical Auditor

Description:

Canadian Specialist Hospital is seeking an experienced and meticulous Medical Auditor & Training Supervisor to join its quality assurance team in Dubai. The successful candidate will play a central role in ensuring clinical documentation accuracy, compliance with coding standards, and improving documentation practices across departments through targeted training programs.

Key Responsibilities:

• Review and audit OP/IP files to confirm accuracy, completeness, and regulatory compliance.
• Verify medical coding, diagnoses, and procedures to ensure appropriate classification and billing integrity.
• Coordinate with insurance and TPA teams to resolve queries, support claims validation, and address documentation gaps.
• Develop and deliver training focused on documentation improvement, coding accuracy, and best practices for clinical staff.
• Prepare audit reports and recommendations for process improvement and quality assurance.
• Monitor corrective actions and track improvements in documentation and coding performance.

Requirements:
• CPMA-certified candidates are preferred.
• Medical graduate or equivalent healthcare qualification with experience in medical auditing or clinical documentation improvement.
• Strong knowledge of clinical coding standards, medical terminology, and billing processes.
• Excellent analytical, communication, and training skills.
• Ability to work collaboratively with clinicians, coders, and administrative teams to drive compliance and quality improvements.