Deputy Manager

Key Responsibilities -

• Conduct field and desk medical auditswith a view to detecting any suspicious activity and highlighting the same to concerned SHAs in a timely manner.
• Create and strengthen medical audit toolsguidelinestraining content and modules to conduct effective desk and field medical audits.
• Preparation of audit reports with key findings and following up with various stakeholders for closure of action.
• Analyze various dashboardstriggersand outliersto identify cases for medical audit.
• Analyze data trendsdashboards and suspect cases referred from triggers and/or identified from other sources.
• Work closely with the IT Team to embed fraud triggersmedical protocolsguidelinesand medical audit requirements (both concurrent and post facto) into the system
• Capacity building of States in medical audit and field investigation.
• Conduct joint field medical audits along with State teams.
• Conduct daily IP bill audit before patients discharges and ensure audit findings are corrected before discharges.
• Conduct perpetual stock audit / cash audit on sample basis.
• Conduct surprise audit in different Ares s of the hospital with prior approval of fice head / FD.
• Audit of discountbills Cancellationun-billing of services and other reports on weekly / fortnight basis.
• Any other work that may be assigned by management from time to time.

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