Auditor de Saúde I

Conduct medical account audits for nursing procedures, verifying eligibility, material coding, and guide pertinence against ANS regulations. Execute continuous compliance reviews of records and procedures, issuing claims when applicable, while supporting business rule analysis and regulatory updates. Analyze hospital billing using contracts and agreed tables, compile indicators for surgical release management, and input technical data into the SAW system for physician review. Manage deadline controls and coordinate with medical auditors for authorization and glosa decisions. Requires a complete Nursing degree with COREN registration; offers health benefits, meals, and mobility allowances.