Internal Auditor

Key Responsibilities

• Conduct systematic audits of hospital revenue processes, including patient registration, charge entry, coding, billing, claims submission, payments, and reconciliation
• Evaluate adherence to hospital policies, regulatory requirements (e.g., NABH, GST, TDS), and standard operating procedures for financial and medical records
• Assess accuracy and completeness of medical billing, insurance claims, and payment postings; identify discrepancies, fraud, or revenue leakage
• Prepare detailed audit reports with clear findings and actionable recommendations for process improvement, compliance, and risk mitigation
• Collaborate with relevant teams (accounts, billing, clinical departments) to address identified issues and ensure timely implementation of corrective actions
• Monitor key revenue cycle metrics (A/R days, collection rates, denial trends) and provide regular feedback for business improvement
• Assist in educating hospital staff on compliance requirements and updates to regulatory standards affecting revenue cycle management

Qualifications and Skills

• Bachelors degree in accounting, finance, healthcare management, or equivalent field
• Working knowledge of hospital revenue cycle, billing systems, and regulatory environment in India
• Experience in internal audits, risk consulting, and process optimization within healthcare preferred
• Strong analytical skills, attention to detail, and familiarity with audit tools and data analysis methodologies
• Excellent written and verbal communication to engage with cross-functional teams and management
• Compliance and Process Improvement Focus on compliance with Indian healthcare standards such as NABH or NABL, financial regulations like GST and Income Tax
• Promote continuous improvement in revenue cycle policies, procedures, and technology integration (e.g., audit-ready EHR, coding automation) for efficiency and compliance.
• Location ameerpet , Hyderabad, Telangana 500038
• Qualification Graduate
• Department INTERNAL AUDITOR