Bill Auditor - Pretoria, JHB

Job Objective:

The successful candidate will be responsible for managing the financial and clinical risks of the business unit by conducting retrospective audits of patient documentation, in order to identify and highlight areas of weakness, recommend corrective action and monitor effective implementation thereof, in support of the company objectives and strategy.

Education and Experience

• Grade 12 National Senior Certificate
• Nursing Qualification, preferably Professional Nurse with at least three years’ experience or Enrolled Nurse with proven case manager and clinical coding experience of at least 3 -5 years.
• Current SANC registration appropriate to relevant Medical Qualification an advantage
• Knowledge of the Bill Audit Toolkit, clinical Coding and Case Manager Toolkit an advantage
• Knowledge of hospital patient services and billing processes
• Knowledge and understanding of CPT/CCSA & ICD coding
• Knowledge of funder contracts, scheme rules, exclusions and benefits
• Knowledge or clear understanding of hospital industry and practices
• Computer proficiency

Skills, Knowledge & Attributes:

• Problem-solving, analysis and judgement
• Resilience
• Engaging diversity
• Verbal & written communication and presentation
• Influencing
• Drive & energy
• Excellence orientation
• Ethical behavior
• Building relationships
• Customer responsiveness
• Organizational awareness
• Leading my example
• Motivating and developing people