The Western Cape Department of Health and Wellness is a department of the Government of the Western Cape, responsible for providing public healthcare to the population of the Western Cape province of South Africa.
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Appropriate experience of clinical procedures/services in various clinical disciplines. Appropriate ICD10 coding experience.
Clinical auditing of patient accounts in compliance with the Uniform Patient Fees Structure and relevant financial prescripts. Ensure that all prosthesis, high-cost consumables and high-cost pharmaceuticals are charged timeously.
Complete prosthesis/high cost consumable forms when necessary for billing purposes. Provide estimations and interact with clinical personnel with regards to clinical procedures.
Handle queries including 3rd party queries. Ensure accurate interpretation and implementation of policy, protocols and hospital procedures in respect of H2, H3 and Private patients (externally funded patients).
Assist Case Manager with clinical updates, assign ICD10 codes, obtain authorisation and liaise with the Medical Schemes. Query codes as needed to obtain clarification of charted documentation to accurately assign ICD10 codes Actively participates in training of ICD10 coders. Ensure compliance of coding rules and regulations. Compile and submit statistics on a weekly/monthly basis. Work as a team to me
Proven training in Anatomy and Physiology or a Nursing/clinical background. Knowledge of Prosthetic Devices and High-Cost Consumables. Knowledge of a patient fees tariff structure. Good interpersonal skills and the ability to act independently, objectively and with confidence. Computer literate Ability to work under pressure, handle a high work volume and meet strict deadlines.
Senior Certificate (or equivalent) with Mathematics and/or Accountancy as a passed subject and/or Senior Certificate (or equivalent) with appropriate experience/competencies that focuses on the Key Performance Areas (KPA's) of the post.
Shortlisted candidates will be subjected to a practical assessment.
R 325 101 per annum - R 382 959 per annum Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).
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