Clinical Coding Specialist
1 month ago
Immploy is seeking a highly skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the smooth operation of our hospital's case management processes.
Key Responsibilities:- Clinical Coding: You will be responsible for carrying out clinical coding in accordance with CPT and ICD requirements, ensuring accuracy and compliance.
- Pre-Admission and Pre-Authorisation: You will ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.
- Patient Clinical Status: You will maintain patients' clinical status in accordance with funder approval requirements for the duration of hospitalization, keeping patients informed and managing the entire hospital stay's financial risk.
- Discharge Information: You will provide complete and accurate updates and discharge information of all accounts.
- Account Maintenance: You will maintain accurate accounts of all admissions.
- Patient Files: You will handle patient files in accordance with hospital procedures, ensuring timely electronic submission of accounts and follow-up on short payments arising from case management-related issues.
- Funder Rules and Coding Procedures: You will ensure the adherence of hospital staff to funder rules and coding procedures.
- Legislation and Healthcare Matters: You will keep well-informed on legislation pertaining to funders and related healthcare matters.
- SANC Registration: You must be registered as a Registered Nurse or an Enrolled Nurse with the South African Nursing Council.
- Case Management Experience: You must have at least 5 years of experience as a case manager, either at hospital level or with the Medical Schemes (preferably case management experience at hospital level).
- Medical Aid Administration: You must have experience with Medical Aid administration procedures, including ICD10, CPT 4 Procedure Codes, and Per Diems.
- Hospital Billing and Tariffs: Knowledge of hospital billing and tariffs, as well as Hospital Information System, will be advantageous.
- Stakeholder Relations: You must be able to build good relations with various internal and external stakeholders.
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Clinical Coding Specialist
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Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Full timeKey Responsibilities:As a Clinical Coding Specialist at Immploy, you will be responsible for carrying out clinical coding in accordance with CPT and ICD requirements. This involves ensuring that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures. You will also be responsible for maintaining...
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Clinical Case Manager
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Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Recruitment Agency CC Full timeJob Title: Case ManagerWe are seeking a highly skilled and experienced Case Manager to join our team at Immploy Recruitment Agency CC. As a Case Manager, you will play a critical role in ensuring the efficient management of patient cases and the delivery of high-quality services to our internal and external customers.Key Responsibilities:Clinical Coding:...
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Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Full time{"title": "Case Manager", "content": "Key ResponsibilitiesAs a Case Manager at Immploy, you will be responsible for ensuring that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures. You will also be responsible for maintaining patients' clinical status in accordance with funder approval...
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Pietermaritzburg, KwaZulu-Natal, South Africa Immploy Recruitment Agency CC Full timeJob Title: Case ManagerWe are seeking a highly skilled and experienced Case Manager to join our team at Immploy Recruitment Agency CC. As a Case Manager, you will play a critical role in ensuring the efficient management of patient cases and the delivery of high-quality services to our internal and external customers.Key Responsibilities:Clinical Coding: You...
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