Description
Job Summary:
Responsible for detailed OPME auditing, ensuring technical relevance and compliance, aligning with medical teams, and preventing claim denials.
Key Highlights:
1. Detailed OPME audit
2. Alignment with medical teams
3. Proactive claim denial prevention
Responsible for detailed OPME auditing, ensuring technical relevance of materials and compliance with procedures and pathologies. Will directly engage in alignment with medical teams and proactive identification of billing errors to prevent claim denials. Requires a higher education degree in Health (Nursing, Pharmacy, or related fields) and solid experience in auditing. Proficiency in TISS/TUSS, CBHPM, Brasíndice, and Simpro coding systems is essential, as is intermediate Excel skills for data analysis and hospital system management.
Compensation: R$2\.190,53 \- R$4\.900,00 per month
Benefits:
* Dental care assistance
* Corporate agreements and commercial discounts
* Commuter allowance
Work Location: On-site