Clinical Coding Specialist at Discovery Limited

Key Purpose

• To maintain full responsibility and accountability for all clinical coding/terminology initiatives and business requirements for the Discovery/Vitality Group including but not limited to Discovery Health and Amplify Health

Areas of responsibility may include but not limited to

• To ensure regulatory compliance to industry coding standards as they apply to each geographical region
• To ensure appropriate use of coding schemas (according to national and international guidelines) towards collecting high quality clinical data for the strategic support of benefits/limits, disease profiling, analytics and the development of critical risk management tools
• To ensure that clinical codes facilitate effective systems and operational processes, across/between all business areas, as well as with external partners
• To ensure continued upskilling within the Group of this scarce specialist skill, ensuring business continuity and stimulating leading edge coding innovations
• To continue to build on (and actively contribute to) the Discovery/Vitality Group’s reputation as a globally recognised Clinical Coding Centre of Excellence
• To partner with international terminology and academic institutions to stay abreast of, and contribute to, international coding initiatives
• To represent the Coding Intelligence team across all relevant internal business areas, as well as externally to clients and terminology organisations
• To actively contribute to strategic decisions related to Clinical Coding in support of the Group’s business objectives Implementation: projects, initiatives and organisational changes;

Personal Attributes and Skills

• Values Driven
• Optimistic
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results
• Problem Solver
• Strategic thinker
• Stakeholder Management

Technical Skills or Knowledge

• Written and Verbal Communication
• Presentation Skills
• Attention to detail
• Analytical skills
• Project Management
• Negotiation Skills
• MS Office
• Clinical Coding Expertise/Skills in International Classifications and Terminologies

Education and Experience

• Bachelor’s degree in a medical capacity (e.g. Nursing, Physiotherapy, Clinical Technology) is essential
• Additional qualification within the field of Health Informatics (Advantageous)
• International coding accreditation such as CPC (Certified Professional Coder) with AAPC (American Academy of Professional Coders) or CCS (Certified Coding Specialist) with AHIMA (Advantageous)

Work Experience

• 10 years working experience in similar or same role
• Strategic experience within a clinical coding environment, particularly in the field of health insurance