- Work with billing departments to achieve clinical coding excellence on all patient files. Application of clinical and coding knowledge to effectively assign and sequence all ICD 10 and CPT codes for services rendered for each patient event.
- 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.
- Comply with all legal requirements regarding clinical coding procedures and practices. Actions that are guided by the South African Code of Ethics for Clinical Coders and South African coding standards.
- Review of patient records for missing information.
- Review of PMB queries and recommendations for action.
- Communicate with funders about clinical coding errors and disputes.
- Identify discrepancies, potential quality of care and billing issues.
- Assist with ad hoc case management required at hospital level.
- Provide support to the hospital billing department.
- Assist with the training of staff regarding ICD-10 and CPT coding.
- External Customer Support.
- Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures. Serves as coding consultant to care providers.
- Registered Nursing Diploma with current SANC Registration.
- Advanced Certificate in ICD-10 Coding (Essential).
- Advanced Certificate in Complete CPT preferred.
- Minimum of 3 years experience within Clinical Coding in a private hospital or managed care environment.
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Quality Assurance Officer
Found in: beBee S2 ZA - 2 days ago
W&RSETA KwaZulu-Natal, Durban, South Africa Full timeW&RSETA's job vacancy, Career and Recruitment · Job title : Quality Assurance Officer jobs in KwaZulu-Natal · Job Location : KwaZulu-Natal, Durban · Deadline : May 04, 2024 · Quick Recommended Links · Jobs by Location · Job by industries · The role of this position is to: · To p ...
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Motor Claims Consultant
Found in: Talent ZA 2A C2 - 4 days ago
The Recruitment Council Durban, South AfricaMinimum qualification required for this position: · Grade 12 · FAIS Compliant If not candidate will have to attend a Learnership to obtain necessary credits · Minimum experience required for this position: · 1 3 years · Salary Range · R negotiable depending on experience & quali ...
Case Management Quality Assessor - Durban, South Africa - City Hospital / Joint Medical Holdings
Found in: Job Placements ZA C2 - 5 days ago
Description
KEY PERFORMANCE AREAS
MINIMUM REQUIREMENTS