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Clinical Governance Specialist at Healthcare Provider
2 weeks ago
About the Job:
This is an exciting opportunity for a skilled clinical auditor to join our team at Middlesex College. As a clinical auditor, you will play a critical role in ensuring the accuracy and efficiency of claim processing, working closely with healthcare providers to achieve this goal.
Main Responsibilities:
- Clinical auditing of hospital accounts
- Vetting accounts under guidance of the gazette
- Daily auditing of captured accounts
- Aligning hospital accounts with authorisations on the system
- Reversal of claims and providing feedback to service providers
Requirements:
- Registered or enrolled nurse
- SANC registration
- 2-5 years clinical auditing experience
- Knowledge of ICD10 coding, modifiers, tariff codes