Mohamad Hamid, Medical Reviewer – Medical Auditing

Mohamad Hamid

Medical Reviewer – Medical Auditing

MedNet

Location
Saudi Arabia - Khobar
Education
Doctorate, Neurosurgery
Experience
2 years, 9 Months

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Work Experience

Total years of experience :2 years, 9 Months

Medical Reviewer – Medical Auditing at MedNet
  • Bahrain - Manama
  • August 2013 to December 2013

MedNet is a managed care service provider of quality solutions that meets an individual’s long-term healthcare needs and offers financial protection against unforeseen health crisis and expenses. http://www.mednet-uae.com

Responsibilitiesu**
• Conducted independent Medical Reviews and rendered Claims Determination services to stakeholders.
• Approved medical requests through email, company system and calls.
• Audited medical records and ensured accuracy and completeness of data; assessed quality of patient care.
• Consistently ensured compliance with all requirements of coding, government and insurance guidelines.
• Issued citations and followed up for close-out of all non-conformities, and rectified discrepancies.

Assistant Professor I, Lecturer at College of Medicine – AMA International University Bahrain
  • Bahrain
  • September 2010 to December 2012

AMAIUB College of Medicine has the vision of being an internationally recognized centre of medical education. http://www.amaiu.edu.bh/vmcmb.asp

Academic Roles u**
• Assistant Professor I, Lecturer
• Module Design Group Coordinator
• Course Design Coordinator - Patient-Doctor Training Course
Administrative Roles u**
• Chair, Students’ Grievance Committee
• Member, Community Engagement
• Chair, Library/Laboratory/Instructional Materials
• Member, Promotions Board
• Chair, Department of Pathology
AMAIUB - COM Curriculum Overview u**
• Bachelor in Medicine Curriculum: http://www.amaiu.edu.bh/docs/OUR_CURRICULUM.pdf
• Description of Courses: http://www.amaiu.edu.bh/docs/DESCRIPTION_COURSES.pdf

Responsibilitiesu**
• Developed module designs for assigned courses that included syllabus using Problem Based Learning methodology.
• Supervised tutorial sessions for Level II, Year 2 and Level III, Year 4.
• Developed test questions, collated test papers and administered examinations as Coordinator.
• Supported fostering of good student relations through an effective Grievance Management System.
• Contributed to the building of the institutional infrastructure including library and laboratories.

Education

Doctorate, Neurosurgery
  • at Shandong University
  • July 2009

PhD Neurosurgery, 2006-2009 Professional Development Clinical Training • Neurosurgery Department, Shandong Provincial Hospital, China, 2007-2009 • Neurosurgery Department, Dammam Central Hospital, KSA, 1 Nov-30 Nov 2007 • Neurosurgery Department, Tianjin General Hospital, China, 2004-2006 • Neurosurgery Department, Al Mana Hospital, Al Khobar KSA, Nov 2005-Dec 2005 Training Programs – AMAIUB COM Bahrain • Strengthening Research Thrust and Capability, 10 Mar 2012 • Strengthening Research Thrust and Capability I, 25 Feb 2012 • Research Tools and Publications, 3 Dec 2011 • Problem Based Learning – Revisited, 11 Sep 2011 • First Business Research Conference, 15 Oct 2011 • The Bologna Process, 22-23 Jul 2011 • Nurturing Professionalism and Integrity through Personality Development, 21 Jul 2011 • Test Construction Workshop 4 – Analyzing Tests: Validity, Reliability and Quality of Multiple Choice Questions, 22 May 2011 • Test Construction Workshop 3 – Constructing and Formatting Objective Tests and Essays, 22 May 2011 • Test Construction Workshop 2 – Planning a Test: Test Specifications and Construction, 25 Apr 2011 • Test Construction Workshop 1 – Design and Evaluation of Multiple Choice Questions, 17 Apr 2011 • The Evolution towards the Next Generation Telecom Networks, 25 Nov 2010 Conferences/Seminars • Community Engagement Awareness – Seminar-Workshop, AMAIUB Bahrain, 10 Oct 2012 • Helping Students to Learn – Seminar, AMAIUB Bahrain, 12 Jun 2012 • Formative and Summative Assessment – Seminar-Workshop, AMAIUB Bahrain, 29 May 2012 • Strengthening Research Thrust and Capability – Workshop Series, AMAIUB Bahrain, 23 Feb/3 Mar/10 Mar 2012 • Research Tools and Publications – Seminar, AMAIUB Bahrain, 3 Dec 2011 • Problem Based Learning Revisited Seminar, AMAIUB Bahrain, 11 Sep 2011 • The Bologna Process, Speaker: Dr. Richard Bryan Holden – Seminar, 22-23 Jul 2011 Continuous Education Learning Conferences • Giant Cell Tumour C2 and Clinical Cases for Discussion, Eastern Province Neurological Surgeons Meeting, Dhahran KSA, 29 Nov 2011 • Ethics in Neurosurgical Practice, Eastern Province Neurological Surgeons Meeting, Dhahran KSA, 25 Oct 2011 • Cervical Disc Arthoplasty, Eastern Province Neurological Surgeons Meeting, Dhahran KSA, 4 Dec 2007 • Internal Carotid Artery Dissection, Eastern Province Neurological Surgeons Meeting, Dhahran KSA, 6 Nov 2007 • Performing Arteriography using N-Butyl Cyanocrylate in Animal model, Eastern Province Neurological Surgeons Meeting, Dhahran KSA, 22 Nov 2006 Publication • Intracranial Infectious Aneurysms from Postoperative Meningitis – Two Case Reports, Medwell Journals – Surgery Journal, 4(2), 16-20, 2009

Master's degree, Neurosurgery
  • at Tianjin Medical University
  • July 2006
Bachelor's degree, Medicine and Surgery
  • at Xi’an Jiaotong University
  • July 2003

MBBS, 1998-2003

Specialties & Skills

Medical Administration
Curriculum and Test Design
Medical Education
Neurosurgery
Community Engagement
Problem Solving, Decision Making
Interpersonal Relations, Communication, Negotiation
Community Engagement, Student Relations
Medicine, Neurosurgery
Objective Structured Clinical Exam, Formative and Summative Assessment
Medical Education – Curriculum Design, Test Design, Tutorials
Administration, Institution Development, Query Resolution
Medical Review, Medical Auditing, Knowledge of Medical Insurance

Languages

Arabic
Expert
English
Expert
Chinese
Expert