Médico Auditor
Core
Evaluate clinical pertinence of procedures and analyze hospital accounts for compliance with care guidelines and contracts.
Role type
Clinical auditor (hospital)
Domain
Healthcare administration
Deliverable
dashboards & analysis
Required skills
Clinical evaluation, hospital account analysis, regulatory compliance, process improvement, clinical intervention
Preferred skills
None stated
Technologies
None stated
Responsibilities
Evaluate clinical pertinence of procedures; Analyze hospital accounts including diagnoses, treatments, materials, and medications; Justify claim denials with technical and scientific basis; Identify process improvement opportunities and intervene with clinical staff
Seniority
Not stated
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