Clinical Claims Auditor

SUMMARY:
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POSITION INFO:

A vacancy exists in our clients Clinical division. The position offered will suit a self-motivated and?driven person who will be assisting in the auditing of risk claims, in and out of hospital.

Your duties will include but not be limited to the following:

Auditing of accounts, applying industry rules and guidelines as set out in the relevant Tariff and Billing Rules, with outstanding administration skills.

The following competencies are required:

• Attention to detail with and investigative mind
• Self-motivated
• Confident with strong inter-personal skills
• Strong administrative skills
• Strong verbal and written communication
• Strong organizational skills with the ability to multi-task

The following minimum qualifications are required:

• Nursing Qualification (RN)
• Experience in Medical and Surgical field
• Exceptional understanding of tariff schedules and Hospital/Doctor billing guidelines?
• Knowledge of ICD10 and CPT4 coding
• Basic knowledge of Medical Terminology