Medical Auditor

2 days ago


Riyadh, Ar Riyāḑ, Saudi Arabia DR. SULAIMAN AL HABIB MEDICAL CENTER Full time
Roles and responsibilities

Monitor, review and update patient's record files both in-patient and out-patient to ensure the completeness and proper documentation are observed with the accordance to both local and international standards.

Key Responsibilities / Accountabilities

  • Review medical records from departments such as Emergency Department (ER), In-patient and Out-patient departments based on review requirements using established international and local standards.
  • Organize and prioritize work to ensure that all review documents are completed in accordance with the pre-set timelines.
  • Work in collaboration with Medical Administration and Quality Department to ensure efficient records reviews are complete.
  • Review prior discharge of patient files for the completeness and by assuring the accuracy of a Medical Records.
  • Follow-up of incomplete documents by calling the concern physicians (consultants, specialists and residents).
  • Coordinate in-service meetings to educate medical staffs on the proper documentation procedures and repot any incorrect or missing documents to the concerned physician and/or HOD for the completion.
  • Actively participates in Quality meetings/ reviews as required to certify adherence to established concrete guidelines.
  • Prepare and present monthly report in Quality Meetings and Surveys.
  • Prepare a regular meeting to the physicians known to have deficient medical files for education.
  • Orienting newly hired physicians for all related issues in the department i.e. VIDA System, Approval and Claims.
  • Assure the full representation of clinical pathway in all file compartments.
  • Comply with the standards laid down by the Joint Commission International Accreditation (JCIA) / Central Board for Accreditation of Healthcare Institutions (CBAHI).
  • Follow and apply medical records department policy and procedure and insures that other staffs were following it.
  • Report to Medical Coordinator for any violation of Medical Records Documentation (MRD) and Policies and procedures (P&P).
  • Adhere the safety and security measures and apply the infection control measures.
  • Participate in the hospital education activity program.
  • Participate in, and lead person-centered care initiatives undertaken by HMG.
  • Enrich patient experience with compassion, respect and dignity.
  • Perform all other tasks/duties assigned within the realm of his/her knowledge, skills and abilities.
Desired candidate profile

Education/ Professional Qualification

Bachelor's Degree
Professional - Nursing; preferably Medicine and Surgery

Experience

Preferably four (4) years' experience in a medical records environment.
Regulatory Knowledge:
Strong understanding of healthcare compliance regulations, including HIPAA, CMS billing policies, Medicaid, and Medicare reimbursement protocols.
Ability to keep up-to-date with changes in healthcare laws, regulations, and guidelines to ensure compliance in audits.
Analytical & Investigative Skills:
Excellent attention to detail and analytical skills for identifying discrepancies or patterns of error in medical records, claims, and coding.
Proficient in analyzing data, identifying trends, and developing actionable reports for process improvements or corrective actions.
Strong problem-solving skills to resolve issues identified during audits and ensure resolution in a timely and effective manner.
Communication Skills:
Strong verbal and written communication skills to clearly explain audit findings to healthcare providers, coding teams, and management.
Ability to provide training and support to medical staff on coding, billing, and documentation best practices.
Skilled in preparing clear, concise, and well-organized audit reports, recommendations, and action plans.
Technical Skills:
Proficient in using electronic health record (EHR) systems and medical billing software (e.g., Epic, Cerner, Meditech).
Proficiency in Microsoft Excel and other data analysis tools for compiling, reviewing, and reporting audit findings.
Familiarity with coding and billing software used in healthcare settings.


  • Chief Accountant

    4 weeks ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Aldara Medical Corporation Full time

    Chief Accountant - Healthcare & ERP SystemAldara Medical CorporationRiyadh, Saudi ArabiaJob Description:Under general direction, responsible for the more complex activities associated with maintaining general ledger accounts and for developing financial statements and reports. Performs diverse and specialized assignments, in assigned area of expertise, in...

  • Accountant

    2 days ago


    Riyadh, Ar Riyāḑ, Saudi Arabia National Medical Care Full time

    Roles and responsibilities The Accountant will be responsible for processing all transactions related to General Ledger, Accounts Payables, Fixed Assets and Payroll. He will also be responsible for consolidating and preparing the financial reports for the entire organization.Major Duties and ResponsibilitiesAssists Ensures through his actions, either...


  • Riyadh, Saudi Arabia ACCUMED Full time

    A medical claims auditor, you will ensure that medical claims, medical records and other documentation essential to the healthcare industry are in compliance with CCHI and RCM industry standards. As a medical claims auditor, you'll have many responsibilities such as utilizing CPT, ICD-9 and other coding systems in the medical billing process; reviewing...

  • Internal Auditor

    4 days ago


    Riyadh, Saudi Arabia Aram Meem Full time

    At** Aram Meem** we are looking for an experienced **Internal Auditor** to bring a systematic approach to risk management, control, and governance processes. **Role responsibilities**: - Determine internal audit scope, analyze financial and business risks, and ensure the correct controls are in place. - Perform and control the full audit cycle including...


  • Riyadh, Saudi Arabia Johnson & Johnson Full time

    Johnson & Johnson is recruiting for a Cross Sector Medical Safety Specialist to be located in Riyadh, KSA. Caring for the world, one person at a time has inspired and united the people of Johnson & Johnson for over 125 years. We embrace research and science - bringing innovative ideas, products and services to advance the health and well-being of people....

  • Internal Auditor

    2 weeks ago


    Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Performs administrative and statistical clerical work insupport of audit professionals in meeting departmental objectives. Assist inperforming internal audit projects as part of the annual internal audit plan.Applies principles of accounting in formatting and producing computer generatedschedules and reports. **Essential Responsibilities and Duties**: 2....

  • Internal Auditor

    1 week ago


    Riyadh, Saudi Arabia Aram Meem Full time

    **ToYou** is a leading online Saudi food ordering and delivery super-app with one of the largest and most comprehensive networks of merchants across the Kingdom of Saudi Arabia. We seek to deliver all necessities across the Kingdom, whether they be from restaurants, supermarkets, pharmacies, or more. At **ToYou** we aim to provide all our customers with a...

  • Hse Manager

    4 days ago


    Riyadh, Saudi Arabia Parsons Full time

    **Minimum Clearance Required to Start**: Not Applicable/None Role: Provides expertise and technical assistance to site management for the implementation of the ESHARP and company SH&E processes. Receives assignments in terms of broad objectives from the GBU SH&E Director in conjunction with Project Management. Reviews, interprets and provides assistance on...


  • Riyadh, Saudi Arabia Help AG Full time

    **Responsibilities**: - Involved in the daily cybersecurity operations - Managing the cybersecurity awareness program - Delivering cybersecurity awareness sessions **Qualifications**: - 2-3 years of Information Technology/Security related experience. - Master of Science in Information Systems Management or Information Security. - Have strong experience in...

  • Hs&e Manager

    1 day ago


    Riyadh, Saudi Arabia Parsons Full time

    **Minimum Clearance Required to Start**: Not Applicable/None Role: Provides expertise and technical assistance to site management for the implementation of the ESHARP and company SH&E processes. Receives assignments in terms of broad objectives from the GBU SH&E Director in conjunction with Project Management. Reviews, interprets and provides assistance on...

  • Senior Accountant

    1 week ago


    Riyadh, Saudi Arabia SNC-Lavalin Full time

    SNC Lavalin are looking for a **Senior Accountant**. The key responsibility is to prepare of financial reports, variance analysis, reconciliations. Assist the operations with budget preparation and review **Main Roles and Responsibilities** - Key deliverables: Preparation of financial reports, Variance Analysis and Balance sheet reconciliations - Prepare...


  • Riyadh, Saudi Arabia Amentum Full time

    **Supporting the Most Exciting and Meaningful Missions in the World** Quality Assurance Manager Quality Manager will develop, improve, and maintain an organization that ensures the customer’s maintenance is performed to the highest possible degree of workmanship and materials using the most efficient methods of inspection and engineering. The Quality...

  • Head of Accounting

    2 days ago


    Riyadh, Saudi Arabia Siemens Healthineers Full time

    Do you want to help shape the future of healthcare? Our name, Siemens Healthineers, was selected to honor our people who dedicate their energy and passion to this cause. It reflects their pioneering spirit combined with our long history of engineering in the ever-evolving healthcare industry. We offer you a flexible and dynamic environment with...


  • Riyadh, Saudi Arabia Ma’aden Full time

    **1. JOB DETAILS**: **Position Title**:Specialist: Employee Relations** **Broad Band**:M09: Professional** **Talent Pipeline Layer**:Managing Self Technical/Professional** **2. OVERALL JOB PURPOSE**: **The role holder is responsible for accurate and timely processing of employee discipline, grievances and investigations, contract renewals, medical...


  • Riyadh, Saudi Arabia Amentum Full time

    **The Aviation Quality Manager (Army Aviation PMO)** The Quality Manager is responsible to the Program/Deputy Program Manager for the overall quality of aircraft maintenance. - Experience in leading** US Army Aviation maintenance Quality** programs is required. - Must be able to obtain and maintain a US Govt Secret Security Clearance, and facility...


  • Riyadh, Saudi Arabia Ma’aden Full time

    **1. JOB DETAILS: **Position Title**:Specialist: Employee Relations **Broad Band**:M09: Professional **Talent Pipeline Layer**:Managing Self Technical/Professional **2. OVERALL JOB PURPOSE**: The role holder is responsible for accurate and timely processing of employee discipline, grievances and investigations, contract renewals, medical insurance...


  • Riyadh, Saudi Arabia 500 Global Full time

    Portfolio Manager, MENA **Our Mission** We uplift people and economies around the world through entrepreneurship. **Who We Are** 500 Global is a venture capital firm with $2.7B in assets under management that invests in founders building fast-growing technology companies. We focus on markets where technology, innovation, and capital can unlock long-term...

  • Compliance Manager

    3 weeks ago


    Riyadh, Saudi Arabia Atkins Full time

    **Company Description** Jobs for Humanity is collaborating with Atkins to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life. Company Name: Atkins **Job Description** AtkinsRealis are looking for a Compliance Manager for a large project in Madinah, KSA.** **Position Overview**: As the Compliance...

  • QA/qc Manager

    3 days ago


    Riyadh, Saudi Arabia Ghafari Full time

    **Responsibilities**: **Ghafari Associates is looking for an QA/QC Manager to join the team. **This person MUST be able to read/write/speak English.** **Responsibilities** - Prepare the companies QA manual control and supervision of all amendments and revisions - Control and the distribution of all the companies quality documentation - Perform all internal...


  • Riyadh, Saudi Arabia GE HEALTHCARE Full time

    **Job Description Summary**: Operational Controller (Saudi Arabia) will be accountability for functional, business, and broad company objectives. In this role the person will integrate and develop processes that meet business needs across the organization, manage complex issues within functional area of expertise, and be involved in long-term planning. GE...