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Healthcare Auditor Job at Medical Aid Scheme

2 weeks ago

Sandton, South Africa Middlesex College Full time

Job Summary:

We are seeking an experienced clinical auditor to join our team at Middlesex College. As a clinical auditor, you will be responsible for ensuring the accuracy and efficiency of claim processing, working closely with healthcare providers to achieve this goal.

Main Duties:

  • Vet hospital accounts under the guidance of the gazette
  • Use clinical guidelines and protocols when vetting accounts
  • Daily auditing of captured accounts
  • Align hospital accounts with authorisations on the system
  • Providing weekly reports

Requirements:

  • Registered or enrolled nurse
  • SANC registration
  • 2-5 years clinical auditing experience
  • Knowledge of ICD10 coding, modifiers, tariff codes