Bill Auditor at Life Healthcare

• A vacancy exists for a Bill Auditor based at Life Queenstown Private Hospital, reporting to Yandiswa Ntandani, Administration Manager. The successful candidate will be responsible for conducting retrospective audits of patient documentation, in order to identify and highlight areas of weakness, recommend corrective action and monitor effective implementation thereof, in support of Life Healthcare objectives and strategy.

Critical Outputs
Effective delivery of quality customer care

• Evaluate data accuracy to identify deviations and make recommendations for corrective action, implement and monitor same
• Analyse data trends relating to rejections and short payments etc.
• Develop and maintain sound relationships with internal customers to achieve co-operation and compliance with audit processes
• Compile and maintain a bill audit file containing copies of documentation as per LHC protocols

Effective auditing of patient documentation

• Audit pre-set number of files according to Life standards, in order to achieve monthly target
• Complete a bill audit template on each file audited
• Complete the bill audit toolkit and any updates where required
• Complete, successfully, the LHC coding course and achieve a set pass rate
• Analyse results and make recommendations
• Compile and submit a monthly bill audit report Effective auditing of hospital operational processes
• Verify statistics on number of elective cases that went to PAC, analyse and report trends on rejection and on med-central short payment report, analyse and report late charges etc.

Effective monitoring of patient services process compliance

• Analyse trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussion in monthly RSRT meetings & bill audit reports
• Monitor effectiveness of implementation of action plans

Requirements

• Nursing Qualification, preferably Professional Nurse with at least three years’ experience or Enrolled Nurse with proven case manager and clinical coding experience of at least 3 -5 years.
• Current SANC registration is appropriate to relevant Medical Qualification an advantage
• Knowledge of the Life Bill Audit Toolkit, clinical Coding and Life Case Manager Toolkit an advantage
• Knowledge of hospital patient services and billing processes
• Knowledge and understanding of CPT/CCSA & ICD coding
• Knowledge of funder contracts, scheme rules, exclusions and benefits
• Knowledge or clear understanding of hospital industry and practices
• Computer proficiency

Competencies

• Problem-solving, analysis and judgement
• Attention to detail
• Resilience
• Engaging diversity
• Verbal & written communication skills
• Influencing
• Action orientation
• Building relationships
• Customer responsiveness
• Organisational awareness
• Excellence orientation
• Ethical behaviour

Deadline:10th April,2026