Function: Patient Services
Facility: Life St Dominic's Hospital, East London
Job Location:East London
Employer: Life Healthcare
Introduction:
A vacancy exists for a Bill Auditor based at Life St Dominic’s Hospital, reporting to Mignon Scherman, 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 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:
• Qualified Registered Nurse
• 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
• Strong Computer proficiency
• 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
Deadline Date: 31.01.2014
How to Apply:
- Please note that if you have not received feedback on your application by the 20 February 2013, please regard your application as unsuccessful.
Tristan Muller
Life St Dominic’s Hospital
Secretary
Tel : +27 43 703 0005
General Fax: +27 43 722 3250
Email : tristan.muller@lifehealthcare.co.za
