Hospital Auditor Kolkata

6 days ago

Kolkata, India MediEnsure Pvt Ltd Full time

**Greetings From MediEnsure Pvt Ltd**

**Job Title: Hospital Auditor**

**Primary Role**:
As a hospital auditor, the primary role is to evaluate medical claims made by hospitals to ensure that they are medically necessary and accurately billed based on the policies and protocols of the health insurer. They also play a key role in identifying and preventing fraudulent claims by cross-referencing multiple claims and reviewing medical records in detail.

**Responsibilities**:
The primary responsibilities of a hospital auditor are:
1. Conduct audits of medical claims submitted by hospitals to ensure accuracy and appropriateness.

2. Verify the medical necessity of procedures and treatments performed on patients.

3. Identify and report fraudulent billing practices.

4. Evaluate compliance with industry regulations, such as HIPAA and Medicare/Medicaid standards.

5. Analyze medical records to determine if the care provided meets industry standards and best practices.

6. Prepare reports to present audit results to hospital management and health insurer leadership.

7. Communicate with hospital staff and physicians to ensure that they are aware of the audit process and any changes to policies or procedures.

8. Provide support and guidance to hospital staff to help them understand industry regulations and billing practices.

9. Monitor and evaluate trends in claims data to inform policy changes and improve the overall efficiency and effectiveness of the health insurer's operations.

Qualifications:
The qualifications required for a hospital auditor working for a health insurer are:
1. Bachelor's degree in health care management, finance or related field.

2. Knowledge of medical billing codes and insurance industry standards.

3. Ability to read and interpret medical records and claims documents.

4. Experience conducting audits and reviewing financial statements.

5. Excellent analytical skills and attention to detail.

6. Excellent communication skills, both written and verbal.

7. Ability to work independently and within a team environment.

8. Understanding of healthcare industry regulations and quality improvement standards.

9. Proficiency in using computer and data analysis software.

**Job Types**: Full-time, Regular / Permanent

**Salary**: ₹300,000.00 - ₹400,000.00 per month

Schedule:

- Monday to Friday
- Weekend availability

**Speak with the employer**
+91 8630533811

  • Income Auditor

    4 days ago

    Kolkata, West Bengal, India Hyatt Centric Ballygunge Kolkata Full time

    Summary You will be responsible to assist with the efficient running of the department in line with Hyatt International's Corporate Strategies and brand standards, whilst meeting employee, guest and owner expectations. The Income Auditor is responsible to ensure the smooth and efficient running of the accounting functions within the Accounting...

  • Hospitality Trainer

    16 hours ago

    Kolkata, West Bengal, India Dsifd Full time

    Job Description: Hospitality Trainer Location: Kolkata Position: Hospitality Trainer Working Days: Monday to Saturday Hiring: Immediate Joiner Role and Responsibilities: ● Deliver comprehensive training sessions on hospitality skills tailored for the aviation industry. ● Guide students in customer service, grooming, etiquette, and communication...

  • Job Opening For Marketing in Reputed Hospital at Kolkata

    2 weeks ago

    Kolkata, West Bengal, India Convate Consultancy Services Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Dear Candidate,We have a Job Opening for Marketing Manager in Reputed Hospital at Kolkata.Requirement Details:Location: KolkataDesignation: Senior Executive/ Associate Manager (Marketing)Experience: 7 to 8 YearsHospital marketing exp should be there.(If previous exp in Hospital Marketing then also fine)Qualification: Any GraduateExpected Notice Period:...

  • Internal Auditor

    2 weeks ago

    Kolkata, India Skyhire Full time

    Manager -Internal Auditor Looking for the above position for a renowned manufacturing organization based in Kolkata. Lots of growth opportunity. Great working environment. CA qualified more than 5-6 years Internal Audit experience with Big4 or Manufacturing/EPC organization. Salary - 7-8 LPA **Salary**: Up to ₹800,000.00 per year Schedule: - Morning...

  • Internal Auditor

    4 days ago

    Kolkata, India Mangalam Placement Full time

    **Company**: Berger Paints **Location** Kolkata **Experience** 1-2 Years **Key Skills** Chartered Accountant, GST, TDS, Internal Audit, Tally **Position: Internal Auditor** **Qualification: CA** **Experience: 0 to 2 years** **Location: Kolkata** Account handling knowledge up to finalization Assist with tax audits and tax returns Prepare month-end...

  • Night Auditor

    1 week ago

    Unknown, Kolkata, West Bengal, India Pride Plaza Hotel, Kolkata Full time

    **Night Auditor -** - **Posts room charges and taxes to guest accounts.**: - **Processes guest charges voucher and credit card vouchers.**: - **Post charges to the guest accounts that have not been posted or were incurred on the night audit shift.**: - **Transfer charges and deposits to master accounts.**: - **Checks to see that all charges are assigned...

  • Internal Auditor

    2 days ago

    Kolkata, India Peoplemint Consultants Full time

    Hello ConnectionsWe are hiring for Internal Auditor role who is having experience in Retail Asset Product in banks.Job details:- Minimum 4+ Years experience in Audit of Retail Asset ProductExperience:- 4+ Years minimumJob location:- Kolkata/Rourkela/AgartalaEducation:- MBA or CACTC:- Best as per current marketInterested candidate please share your cv at

  • Auditor

    2 weeks ago

    Kolkata, India Macro Resources Pvt. Ltd. Full time

    We are looking for qualified Chartered Accountants **for the role of Auditor,** at a leading company in **Power Utility Sector **located at **Kolkata.** **Responsibilities**: - Involvement in Statutory Audit. - Ensure adherence to various Ind-AS framework. - Audit Planning & adherence to various statutory compliance. - Handling Tax Audit and preparation of...

  • Job For Interventional Radiology in Reputed Hospital at Kolkata

    1 week ago

    Kolkata, West Bengal, India Convate Consultancy Services Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Dear Candidate,We have a Job Opening for Interventional Radiology in Reputed Hospital at Kolkata.Requirement Details:Location: KolkataDesignation: Interventional RadiologyExperience: Freshers to 5 yearsQualification: DM/DNB/Fellowship Interventional RadiologyMD/DNB Radiology, MBBSExpected Notice Period: Immediate to 30 daysIf you are interested, kindly share...

  • Job Opening For Radiology in Reputed Hospital at Kolkata

    10 hours ago

    Kolkata, West Bengal, India Convate Consultancy Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Dear Candidate,We have a Job Opening for Radiology in Reputed Hospital at Kolkata.Requirement Details:Location: Kolkata, West BengalDesignation: RadiologyExperience: Freshers to 5 yearsQualification: MD/DNB Radiology, MBBSExpected Notice Period: Immediate to 30 daysIf you are interested, kindly share your updated CV to with below details.Kindly fill the...