SACHBEARBEITUNG (m/w/d) KRANKENHAUSRECHNUNGSPRÜFUNG
Hybrid
Core
Reviewing hospital billing for factual, formal, and economic correctness to ensure compliance with DRG and coding guidelines.
Role type
Hospital billing auditor
Builds
Audit reports and process improvements for a health insurance company
Domain
Healthcare administration and insurance
Required skills
Knowledge of DRG system, SGB V, hospital billing law, medical data analysis, structured analytical thinking, digital application proficiency
Preferred skills
Medical background, experience with Medical Service (MD), process development
Technologies
MS Office, digital billing applications
Responsibilities
Analyze medical data to identify billing errors, initiate and accompany audit procedures with hospitals and the Medical Service, document audit cases, contribute to process development and quality assurance
Seniority
Mid-level specialist
