Clinical Auditor

Fusion Recruitment

Knysna

A well-established company located in Johannesburg North is looking for a Clinical Auditor to join their team!

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse)

Minimum Experience: 3 to 5 years (previous clinical auditing experience in a managed healthcare environment is essential)

Duties and Requirements includes but is not limited to the following:
• Knowledgeable of the Medical Schemes Act and Government Gazette on tariffs
• Vet hospital accounts under the guidance of the gazette
• Use clinical guidelines and protocols when vetting accounts
• Liaise with other members of the team and other departments
• Daily auditing of captured accounts
• Align hospital accounts with authorisation on system
• Checking accounts for non- chargeable items - as per gazette
• Evaluation of accounts for technical correctness using sound medical judgement
• Reconcile hospital accounts
• Deal with external auditors' queries regarding payment of hospital accounts
•... More Detail

Apply Now

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