Compliance and Audit Executive

5 days ago

Abbottabad, Khyber Pakhtunkhwa, Pakistan AltuMed (Cube Healthcare Systems Pvt Ltd) Full time $30,000 - $60,000 per year

Job description:

Cube Healthcare Systems is a subsidiary of the Healthcare Technology Company based in Michigan, USA. providing healthcare solutions to the clients in the US. Presently, Cube Healthcare Systems is the biggest company at KP IT Board, with fast growing healthcare IT services and product base.

As a healthcare solution provider, CHS is successfully carrying out revenue management services for its clients based in the USA. Our product: ALTUMED, a Revenue Cycle Management Software takes Medical Billing to another degree of automation and advancement.

In Pakistan, with the main Office in Abbottabad, Cube has camp offices in Lahore and Islamabad as well where business teams are pro-actively working to provide excellent experience and process for the clients.

Education: Bachelor's Degree

Minimum Experience: 2 years in billing operations, with at least 1-2 years relevant experience.

The Compliance & Audit Executive ensures revenue cycle operations comply with healthcare regulations, payer requirements, and internal standards.

Skills:

Proficient in MS Excel, audit tools, reporting and medical billing EMRs/PMs systems.

Experience in healthcare compliance audits, documentation review, and appeals.

Effective communication, training, organizational skills and attention to detail.

Solid Knowledge of HIPAA, CMS guidelines, ICD/CPT/HCPCS coding rules, and payer policies.

Requirements:

Ensure compliance of all RCM processes (coding, billing, claims, payments, AR, collections) with regulations and payer requirements.

Assist in resolving compliance-related denials and payer rejections.

Collaborate with coding & billing teams to support quality assurance.

Maintain documentation of compliance activities, findings, and corrective actions.

Prepare monthly MTD dashboard for all clients in collaboration with Operation Leads.

Conduct regular audits of claims, coding, follow-up, and documentation to identify risk and ensure integrity in healthcare financial operations.

Benefits:

Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners & trips

Note: Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.

Job Type: Full-time

Work Location: In person

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