General Practitioner, Trauma & Orthopaedics & Medical Claims Adjudication

Mohamed Riyad

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.

3+

Years Experience

432

Connections

DHA

Registered Practitioner

Dr. Mohamed Riyad - General Practitioner & Medical Claims Specialist
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About My Practice

About Me

Dr. Mohamed Riyad - General Practitioner & Medical Claims Specialist

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.

Clinical Integrity

Applying rigorous medical judgment to ensure accurate Medical Necessity determinations and compliant documentation

Regulatory Compliance

Committed to upholding DHA/DOH regulatory frameworks and maintaining audit-ready clinical documentation

Analytical Excellence

Leveraging ICD-10 and CPT coding expertise to optimize claims accuracy and reduce billing variances

Continuous Growth

Actively pursuing certifications in healthcare data analytics, insurance, and claims management to stay ahead in the field

Qualifications

  • Bachelor of Medicine, Bachelor of Surgery - MBBS - University of Science and Technology (Graduated Jan 2020)
  • Health Insurance Basics Certification - LinkedIn Learning (Jan 2026)
  • Basic Life Support for Healthcare Providers (BLS) - National Health Care Provider Solutions (NHCPS) (Completed)

Professional Memberships

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

Client Feedback

Reviews & Testimonials

See what our clients have to say about their experience

5.0

Based on 6 reviews

5
6
4
0
3
0
2
0
1
0

Sarah Johnson

✓ Verified
2 weeks ago
Service Quality

Excellent service! The staff was very professional and attentive. The overall experience exceeded my expectations.

Michael Chen

✓ Verified
1 month ago
Staff Professionalism

Outstanding experience from start to finish. The team was knowledgeable, friendly, and made me feel comfortable throughout.

Emily Rodriguez

✓ Verified
3 weeks ago
Service Quality

Highly recommend! The service was prompt, efficient, and the attention to detail was remarkable. Very satisfied!

David Thompson

✓ Verified
2 months ago
Overall Experience

Professional, courteous, and efficient. The staff went above and beyond to ensure everything was perfect.

Lisa Anderson

✓ Verified
1 week ago
Staff Professionalism

Amazing service! The team was responsive, professional, and truly cared about providing the best experience possible.

James Wilson

✓ Verified
3 months ago
Service Quality

Top-notch service quality. Everything was handled professionally and efficiently. Would definitely recommend to others.

Sarah Johnson

✓ Verified
2 weeks ago
Service Quality

Excellent service! The staff was very professional and attentive. The overall experience exceeded my expectations.

Michael Chen

✓ Verified
1 month ago
Staff Professionalism

Outstanding experience from start to finish. The team was knowledgeable, friendly, and made me feel comfortable throughout.

Emily Rodriguez

✓ Verified
3 weeks ago
Service Quality

Highly recommend! The service was prompt, efficient, and the attention to detail was remarkable. Very satisfied!

David Thompson

✓ Verified
2 months ago
Overall Experience

Professional, courteous, and efficient. The staff went above and beyond to ensure everything was perfect.

Lisa Anderson

✓ Verified
1 week ago
Staff Professionalism

Amazing service! The team was responsive, professional, and truly cared about providing the best experience possible.

James Wilson

✓ Verified
3 months ago
Service Quality

Top-notch service quality. Everything was handled professionally and efficiently. Would definitely recommend to others.

Sarah Johnson

✓ Verified
2 weeks ago
Service Quality

Excellent service! The staff was very professional and attentive. The overall experience exceeded my expectations.

Michael Chen

✓ Verified
1 month ago
Staff Professionalism

Outstanding experience from start to finish. The team was knowledgeable, friendly, and made me feel comfortable throughout.

Emily Rodriguez

✓ Verified
3 weeks ago
Service Quality

Highly recommend! The service was prompt, efficient, and the attention to detail was remarkable. Very satisfied!

David Thompson

✓ Verified
2 months ago
Overall Experience

Professional, courteous, and efficient. The staff went above and beyond to ensure everything was perfect.

Lisa Anderson

✓ Verified
1 week ago
Staff Professionalism

Amazing service! The team was responsive, professional, and truly cared about providing the best experience possible.

James Wilson

✓ Verified
3 months ago
Service Quality

Top-notch service quality. Everything was handled professionally and efficiently. Would definitely recommend to others.

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Professional Experience

Career journey and professional roles

General Practitioner - Trauma & Orthopaedics Surgery

Gezira for Traumatology and Neurosurgery Specialized Centre

Wad Madani, Gezira State, Sudan
Jun 2021 - Dec 2023
Full-time

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.

2 years 7 months

Medical Practitioner - COVID-19 Isolation

Al-Naw Teaching Hospital

Sudan
Mar 2021 - May 2021
Full-time

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.

3 months

House Officer / Intern

Federal Ministry of Health - Sudan

Khartoum, Khartoum State, Sudan
Mar 2020 - Feb 2021
Full-time

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.

1 year

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