Netcare Careers – Hospital Clinical Coder

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:

  • Assist with the training of staff with regard to ICD-10 and CPT coding.
  • Communicate with funders about clinical coding errors and disputes.
  • Work with billing departments to achieve clinical coding excellence on all patient files.
  • Adherence to Netcare policy and procedure and measurement of performance within the designated key performance area
  • Provide support to the hospital billing department.
  • 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.
  • Review of PMB queries and recommendations for action.
  • Review and analyse clinical coding periodically during a patient event in relation to mapped clinical coding requirements.
  • Application of clinical and coding knowledge to effectively assign and sequence all ICD 10 and CPT codes for services rendered for each patient event.

Job Requirements:

  • Valid driver’s licence and ability to travel.
  • CPT coding and an understanding of coding standards
  • Multi-disciplinary clinical experience and knowledge of medical terminology.
  • Excellent communication skills.
  • Ability to work extended hours
  • ICD 10 coding and an understanding of coding standards.
  • Attention to detail.

Qualification & Experience:

  • Certificate in Advanced ICD-10.
  • Min of 3 years’ experience in Clinical Coding and or Case management in a hospital environment
  • Intermediate computer proficiency
  • SANC registration as a Registered Nurse.
  • Certificate in Advanced Complete CPT for South Africa

Job Details:

Company: Netcare

Vacancy Type:  Full Time

Job Location: Cape Town, Western Cape, SA

Application Deadline: N/A

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