Medical Auditor (inpatient claim...
Maadi, Cairo
Medical Auditor (inpatient claims)
Maadi, CairoPosted 2 months ago276Applicants for1 open position
- 23Viewed
- 2In Consideration
- 0Not Selected
Job Details
Experience Needed:
Career Level:
Education Level:
Salary:
Job Categories:
Skills And Tools:
Job Description
- Evaluate inpatient claims to ensure they are accurate and compliant with healthcare regulations and payer guidelines.
- Assess the medical necessity of inpatient services provided and ensure that the documentation supports the claims.
- Work closely with clinical staff, billing teams, and insurance companies to resolve discrepancies and facilitate the claims process.
- Assist in developing and updating policies related to inpatient claims processing and compliance.
- Participate in audits and reviews to improve the accuracy of claims and reduce denials.
- Evaluate inpatient claims to ensure they are accurate and compliant with healthcare regulations and payer guidelines.
- Assess the medical necessity of inpatient services provided and ensure that the documentation supports the claims.
- Work closely with clinical staff, billing teams, and insurance companies to resolve discrepancies and facilitate the claims process.
- Assist in developing and updating policies related to inpatient claims processing and compliance.
- Participate in audits and reviews to improve the accuracy of claims and reduce denials.
Job Requirements
- Physicians only, BSC in medicine & surgery
- 3 years clinical experience not including internship year
- Can work from site for 5 days.
- Experience in health insurance companies or TPA companies
- Experience in inpatient claim adjudication and processing
- Experience in coding (ICD10 AM, CPT and ACHI) is a plus
Featured Jobs
- Logistics And Importation Spec...El-Ahlyia health care for medical supplies - Sheraton, Cairo15 days ago
