Remote Clinical Auditor & Compliance Specialist

Aristo Sourcing; 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

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.