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Medical Auditor

1.00 to 10.00 Years   Cairo, Egypt   23 Jun, 2021
Magrabi Hospitals & Centers
3 Jobs Openings
Job LocationCairo, Egypt
EducationBachelor's degree / higher diploma
SalaryNot Mentioned
IndustryMedical Clinic
Functional AreaNot Mentioned

Job Description

Job Summary:?Medical auditor carry out audits of medical records, patients documents and draws attention to areas of weakness, such as issues with efficiency, Fraud, missing documentation to improve file consistency and patient process inside the facility.?Duties and Responsibilities:?

  • Medical auditors check the completion and accuracy of documentation related to insured patients.
  • A medical auditor identifies incomplete documentation that could affect by examining the files and ensuring the organization complies with regulatory requirements.
  • A medical auditor would be expected to identify fraudulent claims, outliers, reimbursement deficiencies, inefficiencies, incorrect codes, and poor documentation to improve me the organization being challenged by the government or insurance companies.
  • Provide education to other healthcare professionals regarding correct documentation and detailed recommendations to improve the organizations procedures and policies.
  • Perform initial filtration of found medical discrepancies; conduct in depth analysis of the cases and decide on cases needed to be escalated.
  • Medical auditors will undertake new functions as they arise in areas related to medical documentation, medical data compliance and analysis.

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