Clinical Auditor/snr Clinical Auditor

2 weeks ago


Pretoria, Gauteng, South Africa Careforce Recruitment Full time
Our client, a medical aid scheme in Pretoria are currently looking for a Clinical Auditor/Snr Clinical Auditor.

This is a full-time hybrid position, and it will be expected of the successful individual to work at the office at least 3 days a week.


About the role:
To conduct clinical/coding audits according to the established internal, IIA and ISACA standards.

Essential functions of the job:

  • Plan for the execution of clinical audits and adhering to approved budgeted mandays and timelines.
  • Execution of the audit steps according to internal/IIA/ISACA standards.
  • Perform ad hoc audits and consulting engagements as required.
  • Report on audit results according to Internal/IIA/ISACA standards.
  • Followup on previous findings.
  • Give inputs to the annual audit planning and the Audit & Risk Committee reporting.
  • Liaise with audit clients and other role players during audits and provide regular and timely feedback.
  • Liaise with Forensic Investigations, IT Audit & Operational Audit, and fellow auditors during the execution of an audit.
  • Promote good governance, risk management and internal control in the organisation.
  • Administration and record keeping of audits perform.
  • Keep Manager Clinical Audit informed of progress of audits.

Qualification and experience:

Paterson C3

Grade 12, with an appropriate - 3-year tertiary qualification in a clinical or related discipline, with at least - 4 years' experience in the healthcare industry or managed healthcare industry and/or clinical coding.


Paterson C4

Grade 12 with an appropriate 3 year tertiary qualification in a clinical or related discipline with at least 5 years' experience in the healthcare industry, including clinical auditing, pre-authorisation and/or case management and/or hospital benefit management.


Skills and knowledge:

  • Professional registration (clinical and / or internal auditing)
  • Computer literate MS Office.
  • Accuracy and attention to detail.
  • Quality orientated.
  • Analytical and investigative.
  • Assertive with good reporting skills.
  • Knowledge of the following:
  • Clinical auditing;
  • Funding protocols;
  • ICD10, CPT4 & NRPL coding structures;
  • PMB conditions;
  • Risk analyses;
  • Medical Scheme's Act;
  • King IV Reports; and
  • Revised COSO framework.

On offer:

Please send your CV, copies of SANC Registration, Certificates and Payslip.

  • We prioritize the protection of your personal information and are committed to compliance with the provisions of the_

Ability to commute/relocate:

  • Pretoria, Gauteng: Reliably commute or planning to relocate before starting work (required)


  • Pretoria, Gauteng, South Africa Careforce recruitment Full time

    Our client, a medical aid scheme in Pretoria are currently looking for a Clinical Auditor/Snr Clinical Auditor. This is a full-time hybrid position, and it will be expected of the successful individual to work at the office at least 3 days a week.About the role: To conduct clinical/coding audits according to the established internal, IIA and ISACA...

  • Clinical Auditor

    2 weeks ago


    Pretoria, Gauteng, South Africa Careforce Recruitment Full time

    Position: Specialist Clinical AuditorReporting to: Senior Specialist Clinical ManagementLocation: On-site at the Head Office, PretoriaPurpose of the position:Clinical Auditors are responsible to ensure that medical facilities like hospitals, and other healthcare service providers comply with relevant healthcare billing, prizing, and coding rules and also...

  • Clinical Auditor

    2 weeks ago


    Pretoria, Gauteng, South Africa Discovery Limited Full time

    Select how often (in days) to receive an alert: Clinical Auditor Business Unit: Discovery Health Function: Clinical Date: 27 May 2024 Discovery Health Clinical Auditor Job level – Staff level About Discovery Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who...

  • Clinical Auditor

    2 weeks ago


    Pretoria, Gauteng, South Africa Discovery Full time

    Discovery HealthClinical Auditor Job level - Staff levelAbout DiscoveryDiscovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables...


  • Pretoria, Gauteng, South Africa H2R Africa Full time

    valid registration with SANC. Also financial background working in the accounts department of a hospital is a crucial requirement.Minimum 2 years experience working within a private hospitals account department responsible for raising accounts with and billing medical schemes.Sound knowledge of the South African Healthcare industry and prevailing...


  • Pretoria, Gauteng, South Africa Source and Select Full time

    Are you ready to accelerate your career?Unlock Your Potential at Gems - Join Our Elite Team of Healthcare Professionals Calling All Clinical Specialist Internal Auditors Take Your Career to the Next Level with Gems Medical Aid_Are you a Clinical Specialist Internal Auditor seeking a thrilling opportunity to contribute your expertise to the healthcare...


  • Pretoria, Gauteng, South Africa Tych Business Solutions Full time

    Job ID: 68654Date Posted: Posted 18 hours agoLocation: PretoriaJob Title: CLINICAL SPECIALIST INTERNAL AUDITOR - PRETORIA - GAUTENGJOB SUMMARYUnder the leadership of Internal Audit Manager, Internal Auditor will be responsible for:Executing audits, management of stakeholders responsible for allocated tests and reporting. Assist with the development and...

  • Clinical Director

    2 weeks ago


    Pretoria, Gauteng, South Africa PSM Personnel Full time

    Clinical Director Clinical Research ~ Medical AffairsPretoria-GautengOur client is a South African, Non-Governmental Organisation with a focus in clinical and social scientific research. They aim to be a world-class health research organisation.The organisation is looking for a Clinical Director.Reporting to the CEO, these will be your key...

  • Clinic Practitioner

    2 weeks ago


    Pretoria, Gauteng, South Africa Dis-Chem Pharmacies Full time

    Dis-Chem is looking for a Qualified Clinic Sister to join their team in Northgate. The key purpose of the position is to manage and operate a profitable, Primary Health Care Clinic that is situated in a pharmacy within the scope of practice of a registered nursing practitioner.Minimum Requirements:Essential: Grade 12 – MatricTertiary qualification in...

  • Clinical Advisor

    2 weeks ago


    Pretoria, Gauteng, South Africa The Aurum Institute Full time

    Work DescriptionThe Clinical Advisor is responsible for providing clinical advice and strategic direction to the to the support district/s and the appropriate internal and external clinical staff. They will building capacity among HCW to strengthen the TB HIV response and ensure clinical governance standards at all times. The position will assist the...

  • Clinical Facilitator

    2 weeks ago


    Pretoria, Gauteng, South Africa Nurses on Call Full time

    Urgently looking for The Clinical Facilitator within Pretoria area to be responsible for the facilitation of teaching and learning of the theoretical and clinical component in a clinical environment to reinforce the learning process as well as the integration of theory and practice to reinforce the learning process.Requirements:Registered as a Professional...

  • Snr Bookkeeper

    2 weeks ago


    Pretoria, Gauteng, South Africa KM CONSULTING Full time

    _SNR BOOKKEEPER, R25-R30k, Brooklyn. VERY URGENT_Well established firm of Accountants & Auditors requires Bookkeeping exp up to Trail Balance. Tax returns and follow-ups NB. SARS liason. VAT. PAYE. Experience with Trusts adv. Previous exp within similar environment adv.Salary: R25, R30,000.00 per month

  • Clinical Assistant

    2 weeks ago


    Pretoria, Gauteng, South Africa University of Pretoria Full time

    RESPONSIBILITIES: Registering for and pursuing a postgraduate degree in MMedVet (Gyn) with the view to complete the specialist training in reproduction of domestic animals and to obtain the degree within the prescribed time; Actively participating in the clinical/experiential training of veterinary and veterinary nursing students while rendering services in...


  • Pretoria, Gauteng, South Africa Ikho Direct Full time

    Clinical Training SpecialistKey Duties: Plan, co- ordinate and participate in nursing competency requirements of the hospital Provide coaching and mentoring to the staff to ensure clinical competence Participate in the identification and planning of the nursing component of the WSP according to the hospital needs and in line with the Nursing Function...


  • Pretoria, Gauteng, South Africa Thermo Fisher Scientific Full time

    PPD, now Thermo Fisher's clinical research business, is a leading global contract research organization providing comprehensive, integrated drug development, laboratory and lifecycle management services.**At PPD, we are passionate, deliberate, and driven by our purpose- to improve health**Accelerated Enrollment Solutions (AES) is a business unit of PPD that...


  • Pretoria, Gauteng, South Africa Thermo Fisher Scientific Full time

    Job DescriptionJob DescriptionAre you a recent graduate who would like to take his\her first steps within a dynamic clinical research organization? Are you interested in learning fundamental skills to start effectively your career?At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues...


  • Pretoria, Gauteng, South Africa Thermo Fisher Scientific Full time

    Job DescriptionJob DescriptionAre you a recent graduate who would like to take his\her first steps within a dynamic clinical research organization? Are you interested in learning fundamental skills to start effectively your career?At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues...


  • Pretoria, Gauteng, South Africa iMedrecruit Full time

    About the job Clinical Nursing Assistant / Clinical TechnicianA specialist Physician based in a private practice in Pretoria, is looking for a clinical nursing assistant or a clinical associate/technician who can perform general administrative duties, reception cover and basic clinical duties>Requirements (but not limited to): Diary and appointment...

  • Registered Auditor

    2 weeks ago


    Pretoria, Gauteng, South Africa South Africa Full time

    This advertiser has chosen not to accept applicants from your region. Large Audit firmcurrently looking for a Quality Monitoring and Review Manager, withpost articles experience. Must have good knowledge of IFRS, ISA andGAAP. Must be a registered CA (SA) and Auditor (IRBA). Get in touch tofind out more detail.Requirements:Registered Auditor with IRBAMinimum...


  • Pretoria, Gauteng, South Africa Ikho Direct Full time

    Clinical Training SpecialistKey Duties: Plan, co- ordinate and participate in nursing competency requirements of the hospital Provide coaching and mentoring to the staff to ensure clinical competence Participate in the identification and planning of the nursing component of the WSP according to the hospital needs and in line with the Nursing Function...