Hospital Clinical Coder

About the position

Our client, a well-regarded Private Hospital in Cape Town is looking to hire a Hospital Clinical Coder. The incumbent will be responsible in collaboration with hospital case management teams, for liaising between the patients, treating clinicians and managed care organisations in order to provide clinical coding that is updated in accordance with the patient response to treatment in order to receive reimbursement.
from [URL Removed] incumbent will assess clinical statements and convert this information into ICD 10 and CPT coding on
the patient account.

Output and Accountabilities

• 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.
• Engage with all allied service providers to clarify information to ensure complete ICD 10 and CPT coding on each case is achieved.
• 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 African coding standards
• Clinical coding accuracy will be measured using reporting and trend analysis from the Netcare data analytics team.
• Review of PMB queries and recommendations for action.
• Communicate with funders about clinical coding errors and disputes.
• Contact physicians and other health care professionals with questions about treatments ordiagnostic tests given to patients with regard to coding procedures. Serves as coding consultant to care providers.

Job Requirements

• Diploma in Nursing or equivalent NQF level 6 qualification within healthcare sciences.
• Certificate in Advanced ICD-10.
• SANC registration as a Registered Nurse.
• Preferred
• Certificate in Advanced Complete CPT for South Africa
• Min of 3 years’ experience in Clinical Coding and or Case management in a hospital environment
• Intermediate computer proficiency.
• CPT coding and an understanding of coding standards
• ICD 10 coding and an understanding of coding standards.
• Multi-disciplinary clinical experience and knowledge of medical terminology.
• Excellent communication skills.
• Attention to detail.
• Valid driver's licence and ability to travel.
• Ability to work extended hours.

Desired Skills:

• Visioning
• Empowering
• Energising
• Designing and aligning