A vacancy exists for a Bill Auditor based at Life Wilgeheuwel Hospital, reporting to the 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. Function Patient services Facility Life Wilgeheuwel Hospital Position Bill Auditor Introduction A vacancy exists for a Bill Auditor based at Life Wilgeheuwel Hospital, reporting to the 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 Outputs Effective delivery of quality customer careEvaluate data accuracy to identify deviations and make recommendations for corrective action, implement and monitor sameAnalyse 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 processesCompile and maintain a bill audit file containing copies of documentation as per LHC protocolsEffective auditing of patient documentationAudit pre-set number of files according to Life standards, in order to achieve monthly targetComplete a bill audit template on each file auditedComplete the bill audit toolkit and any updates where requiredComplete, successfully, the LHC coding course and achieve a set pass rateAnalyse results and make recommendationsCompile and submit a monthly bill audit reportEffective auditing of hospital operational processesVerify 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 complianceAnalyse trends to identify deviations, report on and influence Stock Controllers & Billing Clerks through presentations and discussion in monthly RSRT meetings & bill audit reportsMonitor 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 advantageKnowledge of hospital patient services and billing processesKnowledge and understanding of CPT & ICD codingKnowledge of Funder contracts, scheme rules, exclusions and benefitsUnderstanding of private hospital industry and practicesComputer proficiency Competencies Problem-solving, analysis and judgementAttention to detailResilienceEngaging diversityVerbal & written communication skillsInfluencingAction orientationBuilding relationshipsCustomer responsivenessOrganisational awarenessExcellence orientationEthical behaviour Email ****** Closing date Thursday, August 22, 2024 Internal applicants - Before making an application, you are requested to discuss your application with your line manager.External candidates will also be considered.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.
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