Posted:3 weeks ago| Platform: SimplyHired logo

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Work Mode

On-site

Job Type

Full Time

Job Description

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

Male Are prefered

Educational Qualification: UG or PG in Life Sciences

Experience: Freshers also can be considered

Salary: Salary will be based on experience

Ph No: 9363427137

Job Types: Full-time, Fresher

Pay: ₹15,000.00 - ₹25,000.00 per month

Benefits:

  • Cell phone reimbursement
  • Health insurance
  • Paid time off
  • Provident Fund

Schedule:

  • Day shift

Work Location: In person

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