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. Please make reference EMB26030 in the subject line. Apply directly on CazVid.