
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:
- Engage with all allied service providers to clarify information to ensure complete ICD 10 and CPT coding on each case is achieved.
- Allocate clinical codes to patients’ current period of care using knowledge of the information contained within the International Classification of Diseases, revision 10, and CPT coding books.
- Conduct assessment of work to make sure that it is continuous improvement in ICD-10 and CPT coding and collection of quality health data.
- 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 - 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.
Job Requirements:
- Nursing qualification or equivalent at a minimum NQF level 4 within healthcare sciences.
- Verified Intermediate Coder Qualification.
- SANC registration or registration with a relevant professional body
Qualification & Experience:
- Completed the Netcare Skills Assessment as a certified intermediate ICD 10 Coder, with a score of >85%
- Min of 3 years’ experience in Clinical Coding and or Case management in a hospital environment
Job Details:
Company: Netcare
Vacancy Type: Full Time
Job Location: Pretoria, Gauteng, SA
Application Deadline: N/A
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