Clinical Auditor jobs

A healthcare recruiting firm in South Africa seeks a Clinical Auditor to enhance patient care through detailed audits. You'll conduct internal audits of clinical documentation for compliance with coding standards, provide training, and produce audit reports. The ideal candidate will be an experienced RN or clinical professional familiar with ICD-10 and CPT coding, thrive in a remote setting, and...

A leading healthcare company in Johannesburg seeks a Clinical Auditor to conduct audits of hospital claims, ensuring compliance and quality assurance. The ideal candidate will be a Registered Nurse with auditing experience and knowledge of medical coding. Responsibilities include reviewing claims, analyzing data, and collaborating with healthcare teams. This full-time position offers a chance to...

Our client, a non-profit, medical scheme is seeking – HBM : Clinical Hospital Auditor for the Pretoria area. Behavioural Competency - Analytical thinking - Assertive - Caring and Confident - Emotional maturity - Flexible - Honest approach - Perceptive and professional behaviour - Self-motivated and Open-minded Duties include but not limited to : - Delivering of cost-effective and affordable...

A healthcare organization in South Africa is seeking a Bill Auditor to manage financial and clinical risks by conducting audits of patient documentation. The role requires overseeing billing processes and making recommendations based on audit findings. Candidates should have a Nursing Qualification, clinical coding experience, and strong analytical skills. This position offers a chance to...

Reference: PE -RW-1 Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essential! EE candidate preference. An awesome career opportunity awaits! Duties & Responsibilities Role Purpose The purpose of this temporary role is to ensure hospital...

Position Purpose: To audit, authorise and process the accurate payment of hospital and case management claims. Ensuring that patient treatment, material and equipment usage for each claim is in accordance with claim rules and regulations. Experience: 3 – 4 years Manage Care experience, of which a minimum of 2 years should have been in a hospital pre-authorisation call centre. Qualifications: ...

A healthcare services provider in Johannesburg seeks a Bill Auditor to manage financial and clinical risks. This role involves conducting audits of patient documentation to ensure compliance with standards, evaluating data accuracy, and maintaining relationships with internal stakeholders. Candidates should possess a Grade 12 National Senior Certificate Nursing Qualification and clinical coding...

Job ID: 42399 Location: Cape Town : K5 and K6 Centurion Position Category: Assessors Position Type: Employee Regular Medical Device Auditor ISO 13485 Position – Full time LRQA Location – to be based in a major city in South Africa As an established third‑party auditing organisation, we are looking for a full‑time Auditor to support our existing activities in the medical devices field. The...

Talent Pool: Clinical Auditor MMH -2 Momentum Johannesburg, Gauteng, South Africa Role Purpose The purpose of this role is to conduct timely and accurate audits of hospital claims, focusing on customer centricity and maintaining the quality of service rendered to scheme members within the benefit design. Requirements Qualification & Experience - Registered Nurse / Allied Health Professional...

Job ID: 42399 Location: Cape Town : K5 and K6 Centurion Position Category: Assessors Position Type: Employee Regular Medical Device Auditor ISO 13485 Position – Full time LRQA Location – to be based in a major city in South Africa As an established third‑party auditing organisation, we are looking for a full‑time Auditor to support our existing activities in the medical devices field....

A healthcare recruitment firm is seeking a Clinical Hospital Auditor for the Pretoria area in South Africa. The role involves delivering cost-effective managed healthcare services to ensure member satisfaction. Candidates should have a Grade 12 certificate, a B Cur Degree or Diploma in Nursing, and a minimum of 5 years clinical experience, alongside registration with the relevant professional...

Reference: PE -RW-1 Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essential! EE candidate preference. An awesome career opportunity awaits! Duties & Responsibilities Role Purpose The purpose of this temporary role is to ensure hospital...

Overview Bring Order, Precision & Compliance to Patient Care Are you a natural problem-solver who thrives in the details? Do you have a deep respect for structure, accuracy, and doing things the right way, especially when it comes to patient care, documentation, and compliance? If you're an experienced RN or clinical professional with strong auditing and coding chops, we want to speak with you....

Bill Auditor Pty • Johannesburg, Gauteng, South Africa Function Patient services Facility Life Peglerae Hospital Position Bill Auditor Introduction A vacancy exists for a Bill Auditor based at Life Peglerae Hospital reporting to the Patient Services Manager Suzette van Rensburg. The successful candidate will be responsible for managing the financial and clinical risks of the business...

A healthcare organization in South Africa is seeking a Bill Auditor to manage financial and clinical risks by conducting audits of patient documentation. The role requires overseeing billing processes and making recommendations based on audit findings. Candidates should have a Nursing Qualification, clinical coding experience, and strong analytical skills. This position offers a chance to...

Overview Bring Order, Precision & Compliance to Patient Care Are you a natural problem-solver who thrives in the details? Do you have a deep respect for structure, accuracy, and doing things the right way, especially when it comes to patient care, documentation, and compliance? If you're an experienced RN or clinical professional with strong auditing and coding chops, we want to speak with you....

A leading healthcare provider in Randburg is seeking a Bill Auditor to manage financial and clinical risks by conducting audits of patient documentation. Responsibilities include evaluating data accuracy, auditing files to comply with standards, and compiling monthly reports. Candidates should have a diploma or degree in Nursing or a related field and SANC/HPCSA registration. Proficiency in the...

A vacancy exists for a Bill Auditor based at Life Peglerae Hospital reporting to the Patient Services Manager, Suzette van Rensburg . The successful candidate will be responsible for managing the financial and clinical risks of the business unit by conducting retrospective audits of patient documentation, in order to identify and highlight areas of weakness, recommend corrective action and...

Bill Auditor – Life Fourways Hospital Vacancy for Bill Auditor based at Life Fourways Hospital reporting to the Patient Services Manager, Sibahle Xhali . The successful candidate will be responsible for managing the financial and clinical risks of the business unit by conducting retrospective audits of patient documentation, to identify and highlight areas of weakness, recommend corrective...

A vacancy exists for a Bill Auditor based at Life Peglerae Hospital reporting to the Patient Services Manager, Suzette van Rensburg. The successful candidate will be responsible for managing the financial and clinical risks of the business unit by conducting retrospective audits of patient documentation, in order to identify and highlight areas of weakness, recommend corrective action and monitor...