Inpatient Claims Auditor
Maadi, Cairo
Inpatient Claims Auditor
Maadi, Cairoposted 54 minutes ago6Applicants for1 open position
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Job Details
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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.
- Provide training to clinical and administrative staff on documentation standards and coding requirements.
- Participate in audits and reviews to improve the accuracy of claims and reduce denials.
Job Requirements
- Minimum of 2 years of experience in medical claims auditing, healthcare claims processing, or a related field.
- Strong knowledge of inpatient medical claims.
- Excellent negotiation and communication skills.
- Ability to work independently and manage multiple priorities in a fast-paced environment.
- High level of integrity and commitment to confidentiality.
- Strong organizational and documentation skills.
- Proactive approach to problem-solving and process improvement.
