Case Manager - ICD-10 Coding & Care Coordination

Joint Medical Holdings; KwaZulu-Natal; On-site; ZAR 420,000 - 660,000; Full time

Job summary

Joint Medical Holdings invites applications for a Case Manager at Isipingo Hospital. The role advocates for patients, optimizes resources, and streamlines processes to improve outcomes across the care continuum.

You will drive accurate coding (ICD-10/CCSA) and ensure effective communication with medical aids, doctors and patients. Required is a SANC-registered nurse with solid computer skills and hospital experience.

Qualifications

• SANC registered nurse with a nursing qualification.
• Computer literate.
• Billing / Auditing experience is advantageous.
• Experience in a multidisciplinary hospital environment.
• ICD 10 and CCSA coding experience is a requirement.
• Experience liaising with medical aids, doctors and patients.

Responsibilities

• Adhere to policy regarding clinical updates within specified turnaround times and service level agreements.
• Ensure precise and comprehensive ICD 10/CCSA coding.
• Meet month-end deadlines.
• Verify accurate and complete billing.
• Communicate adequate and pertinent information to medical schemes.
• Manage internal DSO and optimize utilized tools.
• Oversee the rollout and adherence to Care Risk Management Procedures and Protocols.
• Resolve rejections related to case management.
• Cultivate a collaborative and supportive workplace atmosphere and encourage teamwork.
• Keep abreast of industry trends, regulations, and best practices in case management.

Skills

Nursing qualification

SANC registration

Billing experience

ICD-10 coding

CCSA coding

Multidisciplinary work

Communication skills

Teamwork

Education

Nursing qualification with SANC registration

Job description

Joint Medical Holdings invites applications for a Case Manager at Isipingo Hospital. The role advocates for patients, optimizes resources, and streamlines processes to improve outcomes across the care continuum.

You will drive accurate coding (ICD-10/CCSA) and ensure effective communication with medical aids, doctors and patients. Required is a SANC-registered nurse with solid computer skills and hospital experience.