Pflegerischer Medizincontroller (m/w/d)
Core
Independent assessment of hospital cases for medical audits (MD), including drafting statements and appeals, representing the hospital in discussions with payers, and consulting departments on coding and billing.
Role type
Senior clinical medical controller (health economics)
Builds
Hospital case assessments, audit statements, appeals, and billing documentation
Domain
Healthcare administration + medical coding
Required skills
Health economics, hospital management, G-DRG system, hospital financing, medical coding, hospital information systems, MS Office
Preferred skills
Experience in hospital or medical controlling, coding specialist certification, experience with MEDICO and Amondis systems
Responsibilities
Evaluate hospital cases for medical audits, represent the hospital in discussions with payers, consult departments on coding and billing, ensure coding quality, plan and conduct training sessions, analyze performance and revenue data, contribute to process development
Seniority
Senior, hands-on IC
