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Clinical Governance Specialist at Healthcare Provider

2 weeks ago


Sandton, South Africa Middlesex College Full time

About the Job:

This is an exciting opportunity for a skilled clinical auditor to join our team at Middlesex College. As a clinical auditor, you will play a critical role in ensuring the accuracy and efficiency of claim processing, working closely with healthcare providers to achieve this goal.

Main Responsibilities:

  • Clinical auditing of hospital accounts
  • Vetting accounts under guidance of the gazette
  • Daily auditing of captured accounts
  • Aligning hospital accounts with authorisations on the system
  • Reversal of claims and providing feedback to service providers

Requirements:

  • Registered or enrolled nurse
  • SANC registration
  • 2-5 years clinical auditing experience
  • Knowledge of ICD10 coding, modifiers, tariff codes