Maali ElSayed
@maalielsayed
I improve medical insurance outcomes through claims, underwriting, fraud analysis, and clinical coding.
EgyptWhat I'm looking for
I've built 11 years of pharmacy and medical insurance experience across Medright, Mednet, Family Care Hospital, and Kayan Healthcare. I translate pharmaceutical and clinical data into ICD-10, CPT, and HCPCS codes while supporting accurate, compliant processing.
I've led underwriting, fraud and abuse analysis, claims auditing, and resubmission work, with a focus on risk evaluation, cost avoidance, loss-ratio improvement, and insurer coordination. I'm looking to bring this insurance and clinical expertise to an ambitious medical insurance company.
Experience
Work history, roles, and key accomplishments
Medical Coder
Kayan Healthcare
Jul 2025 - Present (1 year 2 months)
Collects, analyzes, and translates pharmaceutical and clinical data into standardized medical codes. Assigns ICD-10 codes and performs cross-code mapping between CPT, ICD-10, and HCPCS.
Education
Degrees, certifications, and relevant coursework
Ain Shams University
Master of Science, Clinical Pharmacy
2024 -
Pursuing a Master of Science in Clinical Pharmacy at Ain Shams University, Cairo, starting March 2024.
The Insurance Institute of Egypt
Diploma, Insurance
2023 - 2024
Completed an Insurance Diploma from The Insurance Institute of Egypt, Cairo, from October 2023 to March 2024.
Misr International University
Bachelor of Science, Pharmacy
2009 - 2014
Grade: 3.28
Earned a Bachelor of Science in Pharmacy from Misr International University, Cairo, with a GPA of 3.28.
Tech stack
Software and tools used professionally
Availability
Location
EgyptAuthorized to work in
Salary expectations
Job categories
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