Case Management

2 weeks ago


Durban, KwaZulu-Natal, South Africa City Hospital Joint Medical Holdings Full time
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 / ENMust be computer literate.
Must have Billing / Auditing experience essentialExperience in a multidisciplinary hospital environment.
ICD 10and CCSA coding experience is requiredMust have experience in liaising with medical aids, doctors and patients.
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