Medical Auditor

Description

Job Summary: We are seeking a Medical Auditor committed to clinical quality, regulatory compliance, and continuous improvement of medical processes, with solid expertise in auditing and strong analytical capabilities. Key Highlights: 1. Joining a recognized and continuously improving healthcare institution. 2. A professional and collaborative work environment. 3. Active participation in strategic quality and medical control processes. **JOB OFFERING – MEDICAL AUDITOR** **Workplace:** ConfiaSalud Clinic **Work Modality:** On-site **Working Hours:** Full-time (48 hours per week) We are looking for a **Medical Auditor** committed to clinical quality, regulatory compliance, and continuous improvement of medical processes. We seek a professional with solid knowledge of medical auditing, analytical capability, and orientation toward monitoring and oversight of medical practice. **REQUIREMENTS:** * Licensed and registered Medical Doctor (mandatory). * Possession of the **RNA – National Registry of Medical Auditors** (mandatory). * Minimum of **1 year** of experience in medical auditing functions. * Intermediate knowledge of health technical standards. * Advanced proficiency in medical auditing, clinical process control, and medical\-legal regulations. * Ability to prepare reports, indicators, and statistical tables. * Capacity to coordinate effectively with medical teams and administrative departments. * Analytical skills, technical writing ability, and capacity to justify findings before insurers (EPS, SOAT). **MAIN RESPONSIBILITIES:** * Design, plan, and implement medical audit programs (Clinical Practice Guidelines, case audits, cost audits, and concurrent audits). * Conduct monitoring, follow-up, and oversight of medical practice. * Supervise and review outpatient and inpatient clinical records. * Audit clinical records of patients covered by insurance agreements (EPS and SOAT) and prepare corresponding audit reports. * Participate in the development and updating of institutional Clinical Practice Guidelines. * Supervise compliance with technical, medical\-legal, and clinical procedural standards. * Prepare audit-related reports, indicators, and statistical summaries. * Draft justifications and rebuttals in response to insurer observations. * Participate in reconciliation meetings with insurers. * Coordinate technical meetings with specialist physicians and the Medical Directorate for highly complex cases. * Provide technical advisory support within their area of expertise. **WE OFFER:** * Integration into a recognized and continuously improving healthcare institution. * A professional and collaborative work environment. * Active participation in strategic quality and medical control processes. * Job stability based on performance. * Competitive remuneration aligned with market standards and the candidate’s experience. Employment Type: Full-time Application Questions: * Which previous responsibilities do you consider most relevant to this position? * At which companies have you performed the described duties? * Are you currently located in Huancayo? * What is your salary expectation? (Mandatory) * Please provide a WhatsApp contact number. * What is your academic degree and level of education? Workplace: On-site employment