Group Auditor - OP Coding
Job Fit Check
Base Career helps you apply smarter for this job.
Key skills for this role
About the Role
Responsible for conducting internal audits on revenue cycle transactions, ensuring compliance, identifying errors, and supporting external audits with strong analytical skills.
Key Skills for This Role
Full Job Posting
Overview
Group Auditor - OP Coding is responsible for carrying out internal audits focused on revenue cycle transactions including claims, billing, collections, and coding.
This role identifies trends and errors, assesses process compliance, and ensures accurate documentation and billing practices.
The position collaborates closely with internal teams to address audit findings and implement corrective actions.
The position also supports external audit preparation, maintains audit documentation, and contributes to continuous improvement in RCM processes.
Responsibilities
- The post holder will:
- Execute regular audits on claims, billing records, payment posting, and coding accuracy across various specialties and service lines
- Identify areas of revenue leakage, recurring denial trends, and documentation gaps that affect reimbursement
- Verify that billed services are correctly supported by documentation and aligned with payer-specific rules and guidelines
- Develop detailed audit reports including findings, risk ratings, root causes, and recommendations for corrective actions
- Assist departments in implementing changes based on audit feedback and monitor improvements in subsequent audit cycles
- Participate in the development and updating of internal audit tools, workflows, and compliance protocols
- Coordinate with billing, coding, and insurance teams to clarify audit queries and gather supporting documentation
- Prepare for external audits by organizing necessary evidence, addressing potential audit risks, and responding to information requests
- Track audit metrics such as error rates, audit compliance scores, and improvements post-corrective actions
- Contribute to training and awareness sessions on common audit findings and prevention strategies
- Stay informed of changes in UAE healthcare regulations, payer policies, and compliance standards to keep audit procedures current
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at NMC healthcare LLC
Clinic Support Assistant
Abu Dhabi, UAE
To assist Physician in clinic including accessing, adding, and modifying the patient medical records under the physician’s supervision. Request the necessary investigation for t...
Registered Nurse - ER
Dubai, UAE
The post holder will always work within the scope of practice, putting the health, wellbeing and safety of their patient first as they assess, plan, implement and evaluate their...
Specialist - Radiology
Abu Dhabi, UAE
The role involves delivering professional, ethical, and high-quality clinical care, managing clinical risks, ensuring compliance with governance standards, and maintaining accur...
Call Center Supervisor
Dubai, UAE
You will be the first point of contact for our patients, providing them with exceptional customer service and support. Ensuring calls to and from the hospital are attended promp...
Physiotherapist
Al Ain, UAE
Undertake duties in accordance with the philosophy, business practices and policies of NMCSH-Al-Ain, and practicing within the standards and ethics of the Physiotherapy professi...
Specialist Child Psychiatry
Abu Dhabi, UAE
The role involves delivering professional, ethical, and high-quality clinical care, managing clinical risks, ensuring compliance with governance standards, and maintaining accur...
Specialist Psychiatry
Abu Dhabi, UAE
The role involves delivering professional, ethical, and high-quality clinical care, managing clinical risks, ensuring compliance with governance standards, and maintaining accur...
Caregiver
Abu Dhabi, UAE
The patient aide will work to support the nursing staff to provide for the everyday needs of the resident’s and their families Responsibilities Responsibilities may vary dependi...
Clinic Support Assistant
Abu Dhabi, UAE
Registered Nurse - ER
Dubai, UAE
Specialist - Radiology
Abu Dhabi, UAE
Call Center Supervisor
Dubai, UAE
Physiotherapist
Al Ain, UAE
Specialist Child Psychiatry
Abu Dhabi, UAE
Specialist Psychiatry
Abu Dhabi, UAE
Caregiver
Abu Dhabi, UAE