Mohammed Tarek Halabi
Manager Medical Audit
Riyadh
Summary
I am a highly experienced and results-driven medical auditor with more than 5 years of progressive experience in the healthcare industry. I have an extensive knowledge of medical codes, billing regulations, health insurance policies, and clinical audit processes. I am proficient in identifying and reporting opportunities for increased efficiency and revenue optimization. I have an excellent working knowledge of healthcare industry software and computer systems, such as SAS and EMRs. My excellent problem-solving skills and ability to accurately assess and make recommendations on complex systems make me a valuable asset to any healthcare organization. And I have consistently demonstrated the ability to meet stringent deadlines and provide quality projects.
Overview
5
5
years of professional experience
4
4
Certifications
3
3
Languages
Work History
Manager Medical Audit
Tawuniya Insurance Company
Riyadh
09.2022 - Current
- Conducted detailed analysis of hospital records and identified discrepancies saving millions in financial losses.
- Streamlined auditing procedures to ensure compliance with regulatory standards and enhanced operational efficiency.
- Spearheaded successful completion of a medical audit & submission of forged reports in a timely manner.
- Partnered with external medical providers & successfully implemented quality standards for medical audits.
- Established policies & procedures for medical audit of subordinates & implemented effective methods for evaluating performance
Medical Audit Specialist
Tawuniya Insurance Company
Riyadh
02.2020 - 08.2022
- Played a key role in identifying areas of compliance vulnerability in the organization and improved its audit compliance processes.
- Developed more effective audit plans and databases, with a focus on data quality, which led to the successful completion of many audits.
- Delivered numerous presentations to external stakeholders and clients on best practices in medical audit management.
- Reduced audit costs and improved audit efficiency by implementing effective audit process improvements.
General Practitioner
Al Hayat National Polyclinic
Riyadh
07.2019 - 01.2020
- Managed a caseload of up to 50 patients on a daily basis.
- Recommended and implemented evidence-based treatments for a wide range of physical, mental and emotional issues.
- Actively educated patients and answered questions about health-related topics
- Built strong relationships with patients and their families to ensure continuity of care.
General Practitioner
Gadag Medical Care Polyclinic
Riyadh
11.2018 - 05.2019
- Kept detailed records of medical conditions and histories to provide best-in-class and individualized care.
- Monitored vital signs during treatments and adapted plans to maintain patient comfort.
- Advised patients on post-treatment care options, at-home plans and effective rehabilitation.
Education
Master Of Business Administration - Healthcare Management
Universidad Católica San Antonio
SpainMBBS - Medicine And Surgery
Hadhramout University For Science And Technology
YemenSkills
Medical record auditing
Certification
Certified Healthcare Management Professional, Chartered Management Institute
Timeline
Manager Medical Audit
Tawuniya Insurance Company
09.2022 - Current
Certified Healthcare Management Professional, Chartered Management Institute
09-2021
Fellow, Life Management Institute 1 (FLMI 1), LOMA
08-2020
Medical Audit Specialist
Tawuniya Insurance Company
02.2020 - 08.2022
General Practitioner
Al Hayat National Polyclinic
07.2019 - 01.2020
General Practitioner
Gadag Medical Care Polyclinic
11.2018 - 05.2019
Master Of Business Administration - Healthcare Management
Universidad Católica San Antonio
MBBS - Medicine And Surgery
Hadhramout University For Science And Technology