Billings Auditor

Location: Bloemfontein
Number of openings: 1
Closing Date: Wednesday, 9 September 2026
Reference: EMB26030
Employment Type: Permanent On-Site

ABOUT THIS ROLE:
The Billings Auditor will safeguard revenue and support accurate patient accounts by auditing clinical records against itemised bills, hospital billing rules and medical income contractual requirements.

REQUIRED EDUCATION AND SKILLS:
- Grade 12 or equivalent NQF Level 4 qualification (Essential); a relevant finance, healthcare administration or clinical qualification with the advantages.
- At least three years’ experience in patient administration, hospital billing, final billing or bill auditing within a multidisciplinary private hospital environment (Essential).
- Sound knowledge of hospital patient services and billing processes, fee structures, billing rules, medical scheme rules and tariffs, authorisations, ICD-10 coding, procedure codes and billing modifiers.
- Proficiency in hospital billing and patient administration systems, with strong computer literacy including Microsoft Excel.
- Exceptional medical accuracy, analytical judgement, integrity, confidentiality and the ability to investigate discrepancies and communicate corrections constructively.

KEY RESPONSIBILITIES:
- Audit discharged patient files and itemised accounts to confirm that accommodation, theatre time, medicines, consumables, equipment, procedures and other services are complete, accurate and supported by clinical documentation.
- Verify patient and medical scheme information, authorisations, tariffs, ICD-10 and procedure codes, modifiers and contractual billing rules before accounts are released for final billing.
- Identify omitted, duplicated or incorrect charges and potential revenue leakage; refer discrepancies to the responsible departments and verify that corrections are completed accurately and timeously.
- Maintain complete audit evidence and tracking records, monitor outstanding files and late charges, and compile accurate monthly reports on findings, recoveries, risks and recurring trends.
- Work collaboratively with Patient Administration, Nursing, Theatre, Pharmacy, Case Management and Finance to resolve billing queries, strengthen controls and provide focused feedback on timing and recurring errors.

by Wednesday, 9 September 2026.
Please make reference EMB26030 in the subject line.