Clinical Billing Auditor – Hospital Claims

LIFE Healthcare Group; South Africa; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A healthcare organization in South Africa is seeking a Bill Auditor to manage financial and clinical risks by conducting audits of patient documentation. The role requires overseeing billing processes and making recommendations based on audit findings. Candidates should have a Nursing Qualification, clinical coding experience, and strong analytical skills. This position offers a chance to contribute significantly to operational excellence within a dynamic healthcare environment.

Qualifications

• Grade 12 National Senior Certificate Nursing Qualification, preferably Professional Nurse with at least three years’ experience.
• Clinical Coding experience of at least 3-5 years.
• Knowledge and understanding of CPT & ICD coding.

Responsibilities

• Manage the financial and clinical risks of the business unit.
• Conduct retrospective audits of patient documentation to identify weaknesses.
• Compile and maintain a bill audit file according to protocols.

Skills

Attention to detail

Problem-solving

Verbal & written communication

Organizational awareness

Computer proficiency

Education

Grade 12 National Senior Certificate Nursing Qualification

Tools

iMeds / Impilo system

Job description

A healthcare organization in South Africa is seeking a Bill Auditor to manage financial and clinical risks by conducting audits of patient documentation. The role requires overseeing billing processes and making recommendations based on audit findings. Candidates should have a Nursing Qualification, clinical coding experience, and strong analytical skills. This position offers a chance to contribute significantly to operational excellence within a dynamic healthcare environment.