Mitarbeiter (m/w/d) Medizincontrolling - Schwerpunkt MD-Management
Core
Review and evaluate negative MD and insurance assessments, create formal objections, conduct review procedures, and manage data exchange with statutory and private health insurers.
Role type
Senior medical coding and claims management specialist
Builds
Accurate billing and documentation for stationary treatments across multiple clinics
Domain
Healthcare administration and medical coding
Required skills
Medical coding (DKR, FPV), German Social Code V (SGB V) expertise, MD assessment evaluation, objection handling, data exchange management
Preferred skills
Physician Assistant qualification, nursing background, team collaboration
Technologies
ANFM, MBEG, KAIN, INKA systems
Responsibilities
Evaluate negative MD and insurance assessments, create formal objections with medical departments, conduct review procedures, manage electronic data exchange with insurers
Seniority
Senior, hands-on IC