ScovaiJobsMadre Integrated Engineering
Revenue Auditor
Doha, QAオンサイト正社員フルタイム
2026年10月19日に掲載
この求人はARで掲載されています
- Perform routine audits on inpatient and outpatient medical charts to verify that clinical documentation accurately matches billed services.
- Review and maintain the Charge Description Master (CDM) to ensure accurate pricing, active codes, and structural integrity.
- Identify revenue leakage, underpayments, and missed charges, and implement corrective workflows to capture lost revenue.
- Analyze insurance claim denials to identify root causes and collaborate with billing and coding teams to prevent future rejections.
- Ensure strict compliance with CMS guidelines, OIG regulations, HIPAA, and both national (NCD) and local (LCD) coverage determinations.
- Educate and train clinical staff, physicians, and coders on proper documentation requirements and billing regulations.
職種スナップショット
職種
フルタイム
必要なスキル
Inpatient and Outpatient Medical Chart AuditingClinical Documentation and Billed-Service ValidationCharge Description Master (CDM) MaintenanceCharge Pricing and Code Accuracy ReviewRevenue Leakage and Missed-Charge AnalysisUnderpayment IdentificationInsurance Claim Denial Root-Cause AnalysisCorrective Workflow DevelopmentCMS and OIG Regulatory ComplianceHIPAA ComplianceNCD and LCD Coverage Determination ApplicationClinical Documentation and Billing EducationCross-Functional Collaboration with Billing and Coding Teams
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