Intermediate Hospital Clinical Coder - Cape Town Verfied

Salary Negotiable Cape Town, Western Cape Cape Town, Western Cape more than 14 days ago 28-03-2022 12:33:56 PM
23-05-2022 12:33:56 PM
Intermediate Hospital Clinical Coder
Location: Cape Town CBD

Job Description:
An exciting opportunity for a Clinical Coder that wishes to advance their coding skills. In collaboration with hospital case management teams to liaise between the patients, treating clinicians and managed care organizations in order to provide clinical coding that is updated in order to receive reimbursement from funders. You will assess clinical statements and convert this information into ICD 10 and CPT coding on the patient account. The account will reflect the correct treatment path, clinical severity and patient condition through accuracy and completeness of coding.
Successful candidates will be expected to enroll for a Advanced ICD 10 program in 2022

Work with billing departments to achieve clinical coding excellence on all patient files.
Application of clinical and coding knowledge to effectively assign and sequence all ICD 10 and CPT codes for services rendered for each patient event.
Engage with all allied service providers to clarify information to ensure complete ICD 10 and CPT coding on each case is achieved.
Allocate clinical codes to patients’ current period of care using knowledge of the information contained within the International Classification of Diseases, revision 10, and CPT coding books.
Review of patient records for missing information
Review of PMB queries and recommendations for action.
Communicate with funders about clinical coding errors and disputes.
Identify discrepancies, potential quality of care and billing issues
Assist with adhoc case management required at hospital level.
Assist with the training of staff with regard to ICD-10 and CPT coding.
Contact physicians and other healthcare professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures. Serves as coding consultant to care providers.
Job Requirements:
Registered Nurse with valid SANC
Verified Intermediate Coder Qualification (ICD 10) with score above 85% a must
Min of 3 years’ experience in Clinical Coding and or Case management in a hospital environment
Preferred - Certificate in Advanced ICD 10 Coding