Case Management -City Hospital

• Following the JMH policy with regards to clinical updating within turnaround times and service level agreements.
• Accurate and complete ICD 10/ CCSA coding.
• Month end deadlines.
• Ensure accurate and complete billing.
• Ensure adequate and appropriate information is communicated about the medical schemes.
• To manage the internal DSO and ensure optimization of tools used.
• Ensure complete rollout and compliance of Care Risk Management Procedures and Protocols.
• Ensure effective resolution to rejections relating to case management.
• Registration with the SANC as a RN / EN
• Must be computer literate.
• Must have Billing / Auditing experience essential
• Experience in a multidisciplinary hospital environment.
• ICD 10and CCSA coding experience is required
• Must have experience in liaising with medical aids, doctors and patients.

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