Bill Auditor

Life Healthcare

Cape Town, Western Cape
Permanent
Full-time

4 days ago

Bill AuditorFunctionPatient servicesFacilityPositionBill AuditorIntroductionA vacancy exists for a Bill Auditor based at Life Kingsbury Hospital, Cape Town reporting to Loadia Ephraim, Patient Services Manager 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, in support of Life Healthcare objectives and strategy.Critical OutputsEffective delivery of quality customer care

Evaluate data accuracy to identify deviations and make recommendations for corrective action, implement and monitor same
Analyse data trends relating to rejections and short payments etc.
Develop and maintain sound relationships with internal customers to achieve co-operation and compliance with audit processes
Compile and maintain a bill audit file containing copies of documentation as per LHC protocols

Effective auditing of patient documentation

Audit pre-set number of files according to Life standards, in order to achieve monthly target
Complete a bill audit template on each file audited
Complete the bill audit toolkit and any updates where required
Complete, successfully, the LHC coding course and achieve a set pass rate
Analyse results and make recommendations
Compile and submit a monthly bill audit report

Effective auditing of hospital operational processes

Verify statistics on number of elective cases that went to PAC, analyse and report trends on rejection and on med-central short payment report, analyse and report late charges etc.

Effective monitoring of patient services process compliance

Analyse trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussion in monthly RSRT meetings & bill audit reports
Monitor effectiveness of implementation of action plans

Requirements

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

Competencies

Problem-solving, analysis and judgement
Attention to detail
Resilience
Engaging diversity
Verbal & written communication skills
Influencing
Action orientation
Building relationships
Customer responsiveness
Organisational awareness
Excellence orientation
Ethical behaviour

ContactChwayita MpangeleTelEmailClosing dateFriday, May 3, 2024Internal applicants - Before making an application, you are requested to discuss your application with your line manager. External candidates will also be considered.Explore our vacancies and find the right opportunity for you. Download the application form and email to the relevant contact person specified in the job advertisement.Life Healthcare is an Equal Opportunity Employer.Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within two weeks of the closing date of this advert, should consider their application as unsuccessful.

Life Healthcare

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