MD Manager (m/w/d) Revisionsbereich
Core
Managing the revision and appeals process for medical service audits, including legal disputes and documentation reviews.
Role type
Senior Manager, Medical Audit & Revision
Builds
Process optimization for KT/MD audit procedures and legal defense strategies
Domain
Healthcare administration, Medical billing, DRG system
Deliverable
client delivery
Required skills
Medical coding expertise, DRG system knowledge, Legal dispute management, Process optimization, Interdisciplinary collaboration, Staff training
Preferred skills
SAP, Soarian, IDEFIX proficiency, Nursing or medical background
Technologies
SAP, Soarian, IDEFIX, MS Office
Responsibilities
Enforce open claims from audits (Bestreiten, Erörterungsverfahren, Klagebegleitung), Create medical statements up to litigation review, Interdisciplinary collaboration with documentation and coding teams, Develop process and feedback optimization for KT/MD audit procedures, Train employees
