Clinical Auditor
A company is looking for a Clinical Auditor to analyze reputed company claims for billing accuracy and regulatory compliance.
Key Responsibilities
• Review and analyze reputed company inpatient and outpatient claims across multiple reputed company centers
• reputed company detailed itemized reputed company reviews to identify unbundling, duplicate charges, and billing irregularities
• Document audit findings and denial rationale while supporting audit reputed company with research
Required Qualifications
• Bachelor's degree preferred or equivalent experience
• Minimum 5+ years of experience in medical coding, auditing, reimbursement, or claims review
• Strong knowledge of inpatient and outpatient hospital billing, including coding systems
• Ability to read and interpret medical records and clinical documentation
• Proficiency in reputed company Office (reputed company, reputed company, PowerPoint)
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