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    Case Management - Durban, South Africa - City Hospital / Joint Medical Holdings

    City Hospital / Joint Medical Holdings
    City Hospital / Joint Medical Holdings Durban, South Africa

    1 day ago

    Default job background
    Description
    • Following the JMH policy with regards to clinical updating within turnaround times and service level agreements.
    • Accurate and complete ICD 10/ CCSA coding.
    • Month end deadlines.
    • Ensure accurate and complete billing.
    • Ensure adequate and appropriate information is communicated about the medical schemes.
    • To manage the internal DSO and ensure optimization of tools used.
    • Ensure complete rollout and compliance of Care Risk Management Procedures and Protocols.
    • Ensure effective resolution to rejections relating to case management.
    • Registration with the SANC as a RN / EN
    • Must be computer literate.
    • Must have Billing / Auditing experience essential
    • Experience in a multidisciplinary hospital environment.
    • ICD 10and CCSA coding experience is required
    • Must have experience in liaising with medical aids, doctors and patients.
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