Clinical Auditor

Aristo Sourcing; South Africa; Remote; ZAR 200 000 - 300 000; Full time

Job summary

A healthcare recruiting firm in South Africa seeks a Clinical Auditor to enhance patient care through detailed audits. You'll conduct internal audits of clinical documentation for compliance with coding standards, provide training, and produce audit reports. The ideal candidate will be an experienced RN or clinical professional familiar with ICD-10 and CPT coding, thrive in a remote setting, and communicate effectively. This position offers a monthly salary of $1300 and requires strong analytical skills.

Qualifications

• Experience in clinical auditing or quality assurance.
• In-depth knowledge of Medicare, BCBS, and Aetna billing practices.
• Ability to produce clear, concise audit reports.

Responsibilities

• Conduct internal audits of clinical documentation.
• Review billing practices for major payers.
• Identify discrepancies and provide recommendations.
• Educate and train providers on documentation best practices.

Skills

ICD-10 coding

CPT coding

Insurance billing

Attention to detail

Independent work

Effective communication

Education

Registered Nurse or Enrolled Nurse certification

Tools

EHR systems

Audit tools

Job description

Overview

Bring Order, Precision & Compliance to Patient Care

Are you a natural problem-solver who thrives in the details? Do you have a deep respect for structure, accuracy, and doing things the right way, especially when it comes to patient care, documentation, and compliance? If you're an experienced RN or clinical professional with strong auditing and coding chops, we want to speak with you. Our client is looking for a Clinical Auditor who can dig deep, spot inconsistencies, ensure compliance, and help them continuously raise the bar for quality in every patient chart and process.

Responsibilities

• Conduct internal audits of clinical documentation for accuracy and compliance with ICD-10/CPT coding.
• Review billing practices for Medicare, Aetna, BCBS, and other major payers.
• Identify discrepancies and provide recommendations to fix them.
• Educate and train providers and staff on documentation best practices.
• Stay ahead of changes in coding standards and payer requirements.
• Produce clear, concise audit reports for leadership.
• Work independently from your home, managing your own schedule and priorities.

Salary

$1300 per month

Location

South Africa - Remote

Work Schedule

Eastern US time zones

Requirements

You're a Great Fit If You:

• In depth background in a remote set-up of work similar to freelancing as an Independent Contractor (deep understanding on the pros & cons involved in this industry).

• Registered Nurse or Enrolled Nurse (preferred).
• Are highly experienced in ICD-10 and CPT coding and insurance billing.
• Know the ins and outs of Medicare, BCBS, Aetna, and other big players.
• Have a sharp eye for detail and love tracking down inconsistencies.
• Thrive working independently in a quiet, remote setting.
• Communicate clearly, tactfully, and effectively, whether in reports or training sessions.

Bonus Points If You:

• Have experience in clinical auditing, compliance, or quality assurance.
• Are familiar with EHR systems and audit tools.
• Hold a relevant certification (like CHC or CHCA).