An Assistant Manager of Internal Audit in a hospital manages risk-based operational, financial, and clinical audits. Core duties include reviewing IP/OP/ER billing and TPA/insurance claims to prevent revenue leakage, auditing pharmacy and medical inventory, checking compliance with healthcare standards like NABH, and reporting risk insights to senior management.
Key Responsibilities
- Financial and Revenue Audits: Check inpatient, outpatient, and emergency room bills alongside insurance and Third-Party Administrator (TPA) claims to stop revenue loss. [
- Inventory and Procurement Checks: Monitor pharmacy stock, medical consumables, and high-value supply chains to catch waste, shortages, or theft.
- Clinical and Operational Reviews:
Plan and execute internal audits across both clinical and non-clinical departments to evaluate internal controls.
- Accreditation and Compliance: Ensure day-to-day operations align with statutory laws and accreditation standards such as NABH or NABL.
- Reporting and Tracking: Write clear audit findings, build Risk Control Matrices (RCM), and follow up on corrective action plans with department heads