Vacancieshut
Website Netcare
Job Description:
The incumbent will be responsible in collaboration with hospital case management teams, for liaising between the patients, treating clinicians and managed care organisations in order to provide clinical coding that is updated in accordance with the patient response to treatment in order to receive reimbursement from funders.
Job Responsibilities:
- Review and analyse clinical coding periodically during a patient event in relation to mapped clinical coding requirements
- Communicate with funders about clinical coding errors and disputes.
- Clinical coding accuracy will be measured using reporting and trend analysis from the Netcare data analytics team
- Review of patient records for missing information.
- Work with billing departments to achieve clinical coding excellence on all patient files.
- Continual assessment of work to ensure a continuous improvement in ICD-10 and CPT coding and collection of quality health data.
- Identify discrepancies, potential quality of care and billing issues
Job Requirements:
- Attention to detail.
- ICD 10 coding and an understanding of coding standards.
- CPT coding and an understanding of coding standards
- Multi-disciplinary clinical experience and knowledge of medical terminology.
- Ability to work extended hours.
- Valid driver’s licence and ability to travel.
- Intermediate computer proficiency.
- Min of 3 years’ experience in Clinical Coding and or Case management in a hospital environment
- Excellent communication skills.
Qualification & Experience:
- Verified Intermediate Coder Qualification.
- SANC registration or registration with a relevant professional body.
- Nursing qualification or equivalent at a minimum NQF level 4 within healthcare sciences.
- Completed the Netcare Skills Assessment as a certified intermediate ICD 10 Coder, with a score of >85%
- Certificate in Advanced ICD 10 Coding
Job Details:
Company: Netcare
Vacancy Type: Full Time
Job Location: Sunninghill, Gauteng, SA
Application Deadline: N/A
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