Friday , December 9 2022

Life Healthcare Vacancies 2022 – Bill Auditor

Website Life Healthcare

Job Description:

The successful candidate will be responsible for conducting retrospective audits of patient documentation, in order to identify and highlight areas of weakness, recommend corrective action and monitor effective implementation thereof, and assist with case management during times of operational necessity in support of Life Healthcare objectives and strategy.

Job Responsibilities:

  • Complete the bill audit toolkit and any updates where required
  • Analyze results and make recommendations
  • Audit pre-set number of files according to Life standards, in order to achieve monthly target
  • Compile and submit a monthly bill audit report
  • Compile and maintain a bill audit file containing copies of documentation as per LHC protocols
  • Monitor effectiveness of implementation of action plans
  • Develop and maintain sound relationships with internal customers to achieve co-operation and compliance with audit processes
  • Complete a bill audit template on each file audited
  • Analyze data trends relating to rejections and short payments etc.
  • Verify statistics on number of elective cases that went to PAC, analyze and report trends on rejection and on med-central short payment report, analyse and report late charges etc.
  • Analyze trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussion in monthly RSRT meetings & bill audit reports
  • Evaluate data accuracy to identify deviations and make recommendations for corrective action, implement and monitor same
  • Complete, successfully, the LHC coding course and achieve a set pass rate

Job Requirements:

  • Understanding of private hospital industry and practices
  • Knowledge of hospital patient services and billing processes
  • Knowledge of Funder contracts, scheme rules, exclusions and benefits
  • Knowledge and understanding of CPT & ICD coding
  • Computer proficiency
  • Current SANC registration appropriate to relevant Medical Qualification an advantage
  • Appropriate medical qualification (i.e. EN, RN or similar)

Job Details:

Company: Life Healthcare

Job Category: Health Care

Vacancy Type: Full Time

Job Location: Port Elizabeth, Eastern Cape, South Africa

Application Deadline: N/A

Apply Here

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