Patient Auditing

1 week ago

Tirupur, India Dr Aravinds IVF Fertility centre Full time

Urgent Hiring
Qualification : Any Life Science Graduate
Contact No:

Job Description:

The Patient Auditor is responsible for reviewing patient records and billing documentation to ensure accuracy, compliance with regulatory guidelines, and proper reimbursement. This role involves auditing clinical documentation, coding, and billing practices to identify discrepancies, overpayments, underpayments, or compliance risks.

Key Responsibilities:

  • Conduct audits of patient medical records to verify coding accuracy and documentation compliance.
  • Review inpatient and outpatient records to ensure services are properly documented and billed.
  • Ensure compliance with healthcare regulations (e.g., HIPAA, Medicare/Medicaid, CMS guidelines).
  • Identify errors in coding, billing, and documentation; provide feedback to relevant departments.
  • Prepare detailed audit reports, including findings, trends, and recommendations for corrective action.
  • Collaborate with coding, billing, clinical, and compliance teams to address audit findings.
  • Monitor implementation of corrective actions and conduct follow-up audits as needed.
  • Support training initiatives by identifying education opportunities for clinical and billing staff.
  • Maintain up-to-date knowledge of federal and state healthcare laws and payer policies.

Job Type: Full-time

Pay: ₹10, ₹16,000.00 per month

Benefits:

  • Provident Fund

Work Location: In person

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