Mitarbeiter Medizinische Fallprüfung (m/w/d)
Core
Independent processing of billing inquiries for various payers, compiling medical documents from archives and IT systems, and verifying completeness for the Medical Service (MD) examination procedure.
Role type
Medical Case Review Specialist (Billing & Documentation)
Builds
Medical service examination procedures and billing corrections for healthcare payers
Domain
Healthcare administration / Medical billing
Deliverable
dashboards & analysis
Required skills
Medical training (Nursing, MFA, or Medical Documenter), ICD and OPS coding knowledge, German coding guidelines, Microsoft Office (Outlook, Excel, Word), SAP i.s.h.med, AMONDIS MD/Kostenträgerdialog
Responsibilities
Compile requested medical documents from archives and IT systems, Process billing corrections on a case-by-case basis, Monitor deadlines and workflows according to MD examination regulations, Communicate with payers, the Medical Service, and patients, Coordinate and accompany Medical Service examinations