Clinical Billing Compliance Specialist
3 weeks ago
Location: Qatar
We are seeking a Clinical Billing Compliance Specialist to support our service and procedure compliance program. This role involves analyzing medical records for documentation standards, ensuring correct billing, and providing education based on audit findings.
Key Responsibilities:- Review medical records to ensure compliance with documentation standards and billing regulations.
- Analyze coding and charging processes, particularly in high-value departments such as Emergency Rooms and Specialty Clinics.
- Support the compliance program by providing thorough analysis and recommendations to improve billing accuracy and efficiency.
- Educate and train clinical teams based on audit outcomes to ensure compliance with company standards.
- Perform additional duties as required to support the department's needs.
- Bachelor's Degree in Commerce, Health Information, or a relevant discipline.
- At least 3 years of experience in charge description auditing, compliance audits, and insurance claims auditing in a hospital setting.
- Coding certification from AAPC or AHIMA.
- Proficiency in Microsoft Office and fluency in English.
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