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Clinical Coding Supervisor

3 months ago

Cape Town, Western Cape, South Africa TRANSGENERATIONAL Full time
Matric

  • Registered Nursing Diploma with current SANC Registration
  • Advanced Certificate in ICD 10 Coding is essential
  • More than 5 years' experience in a Private Healthcare or Managed Healthcare environment with at least 2 years experience at a supervisory level
  • Minimum of 5years experience within Clinical Coding in a private hospital or managed care environment
  • Multi
- disciplinary clinical experience

  • Strong knowledge of anatomy, physiology, and medical terminology
  • Ability to analyse medical records and identify documentation deficiencies
  • Indepth knowledge and understanding of Private Hospital Billings guidelines / NHN billings guidelines
  • Thorough understanding of CPT and ICD 10 coding standards
  • General accounting knowledge and financial skills
  • Leadership qualities and mentoring skills
  • Computer literacy is essential
  • Excellent attention to detail and time management skills
  • The ability to function independently and work well under pressure
  • Excellent verbal and written communication skills
  • Numerate, accurate, methodical, customer centric and the ability to maintain motivation
  • Valid drivers license

Key Outputs:

  • Implement strategic procedures and evaluation methods that will ensure and encourage the accuracy of coding
  • Analyse clinical data submitted to the various medical institutions, schemes, insurers and ensure that it has been coded accordingly
  • Ensure that all facilities comply with the clinical coding guidelines
  • Review complex cases and conduct audits on all case management updates
  • Examine records and documentation for missing information
  • Review the nonrelease reports of all hospitals and liaise with the Admin Managers in accordance with set targets
  • Provide staff training
  • Provide stats and reports as requested and effectively execute instructions from Management
  • Identify trends