- Ensure that pre-admission and pre-authorization information is accurate and in
accordance with hospital and funder procedures.
- Carry out clinical coding in accordance with CPT/CCSA and ICD requirements.
- Daily ward rounds for effective clinical update communication and timeous follow up
with medical aids.
- Maintain patients’ clinical status in accordance with funder approval requirements for
the duration of hospitalization; keeping patients informed and managing the entire
hospital stays’ financial risk.
- Provide complete and accurate updates and discharge information of all accounts.
- Maintaining accurate accounts of all admissions
- Handle patient files in accordance with hospital procedures.
- Timeous electronic submission of accounts and follow-up on short payments arising
from case management related issues.
- Facilitate discharge planning and internal and external movement.
- Ensure the adherence of hospital staff to funder rules and coding procedures.
- Keep well informed on legislation pertaining to funders and related Health Care
matters.
- Develop collaborative relationships to help accomplish work goals.
- Compliance with Group Policies, Procedures and Processes
- Actively participate as a member of a team to achieve goals
