Netcare Vacancies in Gauteng – Intermediate Hospital Clinical Coder

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:

• Communicate with funders about clinical coding errors and disputes.
• Provide support to the hospital billing department.
• Review of PMB queries and recommendations for action.
• Continual assessment of work to ensure a continuous improvement in ICD-10 and CPT coding and collection of quality health data.
• Adherence to Netcare policy and procedure and measurement of performance within the designated key performance area.
• Assist with the training of staff with regard to ICD-10 and CPT coding
• Demonstrate expertise in clinical coding and the DRG model and an understanding of the complex cause and effect factors within the broader managed care industry.
• Review and analyse clinical coding periodically during a patient event in relation to mapped clinical coding requirements.
• Read and analyse records from all available digital and other resources for accurate and appropriate coding that reflects the relevant medical history and care the patient received as well as the response to treatment.

Job Requirements:

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

Qualification & Experience:

• SANC registration or registration with a relevant professional body.
• Nursing qualification or equivalent at a minimum NQF level 4 within healthcare sciences.
• Certificate in Advanced ICD 10 Coding
• Completed the Netcare Skills Assessment as a certified intermediate ICD 10 Coder, with a score of >85%
• Verified Intermediate Coder Qualification.

Job Details:

Company: Netcare

Vacancy Type:  Full Time

Job Location: Pretoria, Gauteng, SA

Application Deadline: N/A

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