Healthcare Compliance and Auditing Lead

2 days ago


Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

The position of Auditor Specialist for Revenue Cycle Management (RCM) requires a highly skilled individual to oversee the auditing processes within medical billing and credentialing functions.

Key Responsibilities:

  • Audit Planning and Execution: Conduct regular audits on charge entries, payment postings, and claim submissions to ensure compliance with industry standards and company policies.
  • Compliance and Regulatory Adherence: Monitor adherence to payer-specific billing rules and government regulations, and stay updated on changes in healthcare laws.
  • Consulting and Mentorship: Provide consulting services and lead independent audits and assessments to improve operations and manage risks related to complex technology and processes.
  • Performance Analysis and Reporting: Prepare and deliver KPI & MTD reports to track performance and resolve discrepancies.
  • Follow-up and Remediation: Implement corrective action plans based on audit outcomes to enhance overall compliance and financial performance.

Required Skills and Qualifications:

Candidates should have a strong analytical and organizational skillset, with excellent communication and leadership abilities.

Desirable skills include proficiency in billing and auditing software tools, knowledge of ISO standards, and certification in Medical Billing/Coding, RCM, or relevant certifications.

Benefits:

We offer a range of benefits, including paid leaves, HR bonus, loan policy, advance salary, yearly loyalty rewards, performance-based bonuses, leave encashment, inflation bonus, promotion, increments, and more.



  • Rawalpindi Cantonment, Pakistan CareCloud Full time

    CareCloud, a leading provider of healthcare technology solutions, is seeking an experienced Healthcare Technology Expert to drive innovation and growth in the industry.Job DescriptionThe ideal candidate will have a strong understanding of healthcare technology, with experience in developing and deploying AI solutions into production.We are looking for a...


  • Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

    The Auditor Specialist for Revenue Cycle Management (RCM) plays a critical role in ensuring the accuracy and integrity of our medical billing and credentialing processes.Key Responsibilities:Audit Planning and Execution: Develop and implement comprehensive audit plans for medical billing and credentialing processes to ensure compliance with industry...


  • Rawalpindi Cantonment, Pakistan Translation Empire PK Full time

    We are seeking an experienced and detail-oriented ISO Quality Compliance Manager to oversee and manage the company's compliance with ISO standards and other regulatory frameworks. This role is critical to ensuring our processes, products, and services meet the required quality standards and that continuous improvement initiatives are effectively implemented....


  • Rawalpindi Cantonment, Pakistan Med Lab Services Full time

    Company Overview: Med Lab Services is a leading provider of clinical diagnostic solutions in Pakistan. Our mission is to deliver high-quality diagnostic services that improve patient outcomes. As a Regulatory Affairs Manager, you will play a critical role in ensuring our medical devices and laboratory products meet the highest regulatory standards. As a key...

  • Head Of Audit

    1 week ago


    Rawalpindi Cantonment, Pakistan ASMD Group Pakistan Division Full time

    Head Of Audit - Accounts - Finance (HOD)Preparing and implementing a risk-based audit plan to assess, report on, and make suggestions for improving the company's key operational and finance activities and internal controls.Job SpecificationBeing an independent body, report critical internal control problems and controls to mitigate these issues along with...

  • Internal Audit Lead

    1 week ago


    Rawalpindi Cantonment, Pakistan ASMD Group Pakistan Division Full time

    Job SummaryWe are seeking a highly skilled Internal Audit Lead to join our team at ASMD Group Pakistan Division. The ideal candidate will have expert knowledge of internal auditing principles, techniques, and methodologies, as well as strong analytical and problem-solving skills to identify risks and provide recommendations.The successful candidate will be...


  • Rawalpindi Cantonment, Pakistan Med Lab Services Full time

    Job Description: We are seeking a highly skilled Regulatory Affairs Manager to ensure compliance with regulatory requirements for medical devices and laboratory products at Med Lab Services in Rawalindi. The ideal candidate will be responsible for preparing and submitting applications for product registrations and renewals, liaising with regulatory...


  • Rawalpindi Cantonment, Pakistan HHCC Full time

    Clinical Quality Assurance RoleConduct audits of online clinical documentationAssign ICD-10 codes to new patients based on clinical documentationCommunicate with US-based clinicians for patient condition and documentation improvementDiscuss patient medical history with US-based physiciansTranscribe clinical notes periodically for busy clinicians


  • Rawalpindi Cantonment, Pakistan FamiMed Healthcare Full time

    Company DescriptionFamiMed Healthcare is a research-driven cosmeceutical company specializing in marketing high-quality skincare products. The company's products are formulated with medical-grade raw materials that undergo rigorous testing for purity and effectiveness. Established in 2015, FamiMed Healthcare offers innovative skincare solutions developed by...


  • Rawalpindi Cantonment, Pakistan Translation Empire PK Full time

    We are looking for a highly skilled Compliance Management Professional to join our team. In this role, you will be responsible for managing the company's compliance with ISO standards and other regulatory frameworks. Your expertise will be crucial in ensuring our processes, products, and services meet the required quality standards and that continuous...


  • Rawalpindi Cantonment, Pakistan Translation Empire PK Full time

    We are seeking an experienced Quality Compliance Specialist to oversee and manage the company's compliance with ISO standards and other regulatory frameworks. This role is critical to ensuring our processes, products, and services meet the required quality standards and that continuous improvement initiatives are effectively implemented.Key...


  • Rawalpindi Cantonment, Pakistan FamiMed Healthcare Full time

    Our MissionFamiMed Healthcare is committed to delivering innovative skincare solutions developed by experienced leadership professionals.We specialize in the development and marketing of high-quality skincare products formulated with medical-grade raw materials.Our team is dedicated to providing exceptional customer service and support.RequirementsTo succeed...


  • Rawalpindi Cantonment, Pakistan MedKloud Billing Full time

    About Our TeamAt MedKloud Billing, we empower healthcare providers to streamline their operations and maximize revenue through our innovative healthcare IT solutions.We are a leading provider of medical billing, practice management, and revenue cycle management services. Our team is passionate about transforming the healthcare industry through technology and...


  • Rawalpindi Cantonment, Pakistan FamiMed Healthcare Full time

    Company OverviewFamiMed Healthcare is a research-driven cosmeceutical company specializing in the development and marketing of high-quality skincare products.The company's products are formulated with medical-grade raw materials that undergo rigorous testing for purity and effectiveness.We are committed to delivering innovative skincare solutions developed...


  • Rawalpindi Cantonment, Pakistan FamiMed Healthcare Full time

    Career OpportunitiesFamiMed Healthcare offers a dynamic and challenging career opportunity for a Digital Marketing Manager.The successful candidate will have the opportunity to develop and execute social media marketing campaigns, generate leads, and analyze web analytics data to inform marketing decisions.We offer a competitive salary and benefits package...


  • Rawalpindi Cantonment, Pakistan Right Medical Billing LLC Full time

    Healthcare Claims and Collections SpecialistIn this critical role, you will be responsible for managing medical billing and collection processes for Right Medical Billing LLC. Your expertise will help ensure timely payment from clients and maintain a high level of customer satisfaction.Key responsibilities include:Preparation of regular reports to track and...


  • Rawalpindi Cantonment, Pakistan Globill Medical Resources Services Full time

    About Us: Globill Medical Resources Services is a leading provider of end-to-end solutions to US healthcare providers. Our company empowers clients with expert insurance billing, enrollment & credentialing, licensing, virtual assistance, scribing, and marketing services.Your Role: As a Business Development Executive, you will be responsible for generating...


  • Rawalpindi Cantonment, Pakistan FamiMed Healthcare Full time

    FamiMed Healthcare is a leading healthcare provider seeking a highly skilled Digital Marketing Executive to join our team. In this role, you will be responsible for developing and executing digital marketing campaigns across various platforms including META, Google, Snapchat, and TikTok.Key Responsibilities:Develop strategic plans for digital advertising...


  • Rawalpindi Cantonment, Pakistan Tech Zync Full time

    **Company Overview**Tech Zync is a pioneering medical billing company dedicated to delivering exceptional revenue cycle management and credentialing solutions to healthcare providers. With a strong focus on expertise, technology, and compliance, we strive to provide seamless services that meet the evolving needs of the industry.We are currently seeking a...


  • Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

    The Revenue Cycle Management (RCM) process is a critical component of our organization's success. As an Auditor Specialist, you will play a key role in overseeing the auditing processes within medical billing and credentialing functions.Key Responsibilities:Audit Planning and Execution: Develop and implement comprehensive audit plans for medical billing and...