CASE MANAGEMENT QUALITY ASSESSOR

Updated: March 05, 2024 03:07 AM GMT

Full-time Job in Newlands East, KwaZulu-Natal

Joint Medical Holdings

Durban, South Africa

Introduction

The incumbent will be responsible in collaboration with hospital case management teams, for liaising between the patients, medical doctors and medical schemes in Order to provide clinical coding that is updated in accordance with the patient response to treatment in order to receive reimbursement from funders.

Duties & Responsibilities
• 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.
• Read and analyse records from all available digital and other resources for accurate and appropriate coding that reflects the relevant medical history and care the patient received as well as the response to treatment.
• Comply with all legal requirements regarding clinical coding procedures and practices.
• Actions that are guided by the South African Code of Ethics for Clinical Coders and South... More Detail