MEDICAL AUDITOR

Description

Job Summary: The professional will perform internal and external audit activities, order analysis, and support for health campaigns. Key Highlights: 1. Internal and external audit activities 2. Analysis of OPME purchase orders 3. Support for health campaigns Selection Process: 51907 Salary: R$14\.875,78 State: RIO DE JANEIRO Assignment: COASS \- Assistential Coordination Application Deadline: 10/27/2025 1 vacancy(ies) #### **Benefits Offered** * Meal/Ticket Allowance (R$ 1\.275,00\) * Comprehensive health and dental plan for family members * Private pension plan with equal employer-employee contributions * Group life insurance * Birth Assistance \- R$ 446,18 * Daycare Assistance \- R$ 669,30 (for children up to 7 years old) * School Assistance \- R$ 200,00 (for children aged 7 to 12) * 180-day Maternity Leave * 20-day Paternity Leave * Breastfeeding Leave (2 daily hours for breastfeeding during the first 6 months after returning from Maternity Leave) * Christmas Hamper Allowance in the amount of R$1\.445,40 * Culture Voucher \- R$ 50,00 (for employees earning up to 5 minimum wages) * Gym Assistance \- Reimbursement of R$100,00 upon submission of proof of monthly payment, after the probationary period * Birthday Day Off * Security Professional Day Off (third Monday of October) #### **Prerequisites** Availability to work 30 hours per week (6 hours per day) Completed undergraduate degree in Medicine Active CRM (Medical Council Registration) Knowledge of CBHPM, ANS (ROL), and TUSS coding systems Knowledge of material and drug classification tables (Brasíndice and Simpro) Knowledge of hospital billing and SADT and OPME form auditing Experience in internal and external audit routines Desirable: Postgraduate degree in Auditing. #### **Job Responsibilities **Read Carefully Perform internal and external audit activities, including medical and hospital billing audits (fees, daily rates, and charges) Analyze OPME purchase orders Monitor discharge processes when requested Conduct external visits (hospitals/homes) and visits to service providers Perform internal and external expert assessments Conduct glosa (claim denial) analysis and appeals Provide support for health campaigns promoted by GEAP Perform other duties relevant to the position. #### **Attention, Candidates** • GEAP values diversity, respect, and inclusion throughout its selection processes. As a Foundation committed to equity, we promote opportunities for all, without distinction based on gender, race, sexual orientation, age, or religion. • Applying for this position does not guarantee participation in evaluation stages. Candidates lacking alignment with the required expertise, qualifications, and curriculum as specified in the job posting will be deemed ineligible for the selection process. * Participation in and approval of evaluation stages does not obligate GEAP to hire. As a private entity, GEAP reserves the right to modify or cancel selection processes at any time, making hires only as needed and subject to available positions. * Incomplete resumes will be disregarded \- For each addition, always click the (\+) icon. Add Experience The resume registration system does not accept file attachments; all requested fields must be manually entered. Work location: RUA BENEDITO HIPOLITO, Nº 216 \- CIDADE NOVA, RIO DE JANEIRO\-RJ