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Trauma & Orthopaedics (Clinical)
I am Dr. Mohamed Riyad, an MBBS graduate from the University of Science and Technology with over 3 years of clinical experience as a General Practitioner in Trauma & Orthopaedics. Currently based in Abu Dhabi, UAE, I am transitioning into the UAE Health Insurance and TPA sector — bridging hands-on clinical expertise with medical claims adjudication, utilization review, pre-authorization, and regulatory compliance. Skilled in ICD-10 and CPT coding standards, I am committed to driving operational and financial excellence within the UAE healthcare sector.
Years Experience
Connections
Registered Practitioner
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Understands context, handles follow-ups and objections, and hands off gracefully when needed.
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I am Dr. Mohamed Riyad, a DHA-registered General Practitioner with over 3 years of clinical experience in Trauma & Orthopaedics. Currently based in Abu Dhabi, UAE, I am strategically transitioning into the Health Insurance and Third-Party Administrator (TPA) sector — bridging intensive clinical experience with expertise in medical claims adjudication, utilization review, and regulatory compliance. My goal is to leverage hands-on clinical judgment and analytical skills to drive operational and financial excellence within the UAE healthcare sector.
Applying rigorous medical judgment to ensure accurate Medical Necessity determinations and compliant documentation
Committed to upholding DHA/DOH regulatory frameworks and maintaining audit-ready clinical documentation
Leveraging ICD-10 and CPT coding expertise to optimize claims accuracy and reduce billing variances
Actively pursuing certifications in healthcare data analytics, insurance, and claims management to stay ahead in the field
Dubai Health Authority (DHA) - Registered Practitioner | DHA ID: 01534621
Gezira for Traumatology and Neurosurgery Specialized Centre - Clinical Team
Federal Ministry of Health - Sudan (House Officer Program)
Al-Naw Teaching Hospital - Medical Staff
See what our clients have to say about their experience
Based on 6 reviews
Excellent service! The staff was very professional and attentive. The overall experience exceeded my expectations.
Outstanding experience from start to finish. The team was knowledgeable, friendly, and made me feel comfortable throughout.
Highly recommend! The service was prompt, efficient, and the attention to detail was remarkable. Very satisfied!
Professional, courteous, and efficient. The staff went above and beyond to ensure everything was perfect.
Amazing service! The team was responsive, professional, and truly cared about providing the best experience possible.
Top-notch service quality. Everything was handled professionally and efficiently. Would definitely recommend to others.
Excellent service! The staff was very professional and attentive. The overall experience exceeded my expectations.
Outstanding experience from start to finish. The team was knowledgeable, friendly, and made me feel comfortable throughout.
Highly recommend! The service was prompt, efficient, and the attention to detail was remarkable. Very satisfied!
Professional, courteous, and efficient. The staff went above and beyond to ensure everything was perfect.
Amazing service! The team was responsive, professional, and truly cared about providing the best experience possible.
Top-notch service quality. Everything was handled professionally and efficiently. Would definitely recommend to others.
Excellent service! The staff was very professional and attentive. The overall experience exceeded my expectations.
Outstanding experience from start to finish. The team was knowledgeable, friendly, and made me feel comfortable throughout.
Highly recommend! The service was prompt, efficient, and the attention to detail was remarkable. Very satisfied!
Professional, courteous, and efficient. The staff went above and beyond to ensure everything was perfect.
Amazing service! The team was responsive, professional, and truly cared about providing the best experience possible.
Top-notch service quality. Everything was handled professionally and efficiently. Would definitely recommend to others.
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Career journey and professional roles
Gezira for Traumatology and Neurosurgery Specialized Centre
Conducted thorough clinical evaluations of Trauma & Orthopaedics cases, providing analytical basis for accurate Medical Necessity (MN) and Level-of-Care (LOC) determinations for insurance review. Collaborated with surgical teams to develop optimized care pathways supporting cost-containment strategies for high-cost orthopedic treatments. Maintained meticulous and compliant patient records within EHR systems, facilitating seamless audit trails for TPA/Insurance scrutiny. Applied ICD-10 and CPT coding principles to ensure documentation accuracy and reduce potential errors in claims submissions.
Al-Naw Teaching Hospital
Provided comprehensive care for patients presenting with COVID-19 symptoms in the emergency department. Managed patients in the Intensive Care Unit (ICU) and general wards, ensuring optimal treatment, continuous monitoring, and critical care delivery during the pandemic response.
Federal Ministry of Health - Sudan
Completed mandatory internship rotations across multiple clinical departments under the Federal Ministry of Health. Gained hands-on experience in direct patient care, critical care medicine, and clinical operations across various medical specialties, building a strong foundation in clinical practice and patient management.
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