Job Description
About the Role
The Hospital Bill Auditor will play a crucial role in ensuring the accuracy and efficiency of hospital billing processes. This position requires a strong understanding of medical terminology, coding systems, and auditing principles. The ideal candidate will possess excellent analytical skills, attention to detail, and effective communication skills.
Key Responsibilities
- Evaluate data accuracy to identify deviations and make recommendations for corrective action and implement and monitor same
- Analyse data trends relating to rejections, short payments
- Edit accommodations
- Develop and maintain sound relationships with internal customers to achieve co-operation & compliance with audit processes
- Compile and maintain a bill audit file containing copies of the edit accommodation reports, late charges and bill audit reports (per file) all signed by PSM
- Supply proof of completed bill audit reports with additional copies placed in patient files
- Audit pre-set number of files according to standards, in order to achieve monthly target
- Verify the presence of a completed checklist on file
- Verify the presence of copies of patient ID and medical aid on file
- Patient details on IMEDS
- The presence of accurately completed and signed bed letter on file
- The carrier code detail on IMEDS to correspond with Patients medical aid card
- Verify and align proof listing to charge sheet
- Verify and confirm accuracy of billing
- Accuracy of discharge dates corresponding to patient dates
- Compare the prosthesis invoice to charges on IMEDS and verify presence of invoice on file
- The correct billing of theatre gases, modifiers, stock & time
- The correct billing of oxygen usage
- The correct billing of ventilator charges
- Statistics on number of elective cases that went to the pre-admission clinic
- Complete a bill audit template on each file audited
- Complete the bill audit toolkit and any updates were required
- Successfully complete the coding course and achieve a set pass rate
- Analyse audit results and make recommendations
- Compile and submit a monthly bill audit report
- Analyse & report trends on rejection
- Analyse & report trends on short payment report
- Analyse & report late charges
- Analyse & report Edit accommodations
- Effective monitoring of patient services process compliance
- Analyse trends to identify deviations
- Report on deviations and influence Stock Controllers & Billing Clerks through presentations and discussion in monthly RSRT meetings & bill audit reports; to drive process of corrective action
Requirements
- Diploma or Degree in Nursing, Physiotherapy, Clinical Associates, Paramedics as Critical Care Assistants or Emergency Care Practitioners or any other qualification that covers Anatomy, Physiology, Pathophysiology and Microbiology as foundational courses
- Current SANC registration appropriate to relevant medical qualification
- Knowledge of the Bill Audit Toolkit, clinical coding
- Case Manager Toolkit (an advantage)
- Knowledge of hospital patient services and billing processes
- Knowledge and understanding of CPT/CCSA & ICD coding
- Clear understanding of hospital industry and practices
- Proficient on MS Office Suite
Qualifications
(No qualifications mentioned in the original job description)
Salary & Benefits
(No salary or benefits information mentioned in the original job description)
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Accounting / Finance Jobs in Gauteng
In Gauteng, South Africa, the accounting and finance industry is a significant sector, offering various career opportunities for professionals with the right skills and qualifications. Typically, this field is driven by the growth of multinational corporations and local businesses in industries such as technology, financial services, and manufacturing. As a result, job seekers can expect to find a diverse range of roles available, from entry-level positions to senior leadership roles.
When it comes to salary expectations, accounting and finance professionals in Gauteng can generally expect to earn salaries that fall within broad ranges. Typically, salaries for entry-level roles start around R400 000 – R600 000 per annum, while more senior roles can command salaries ranging from R1 million to over R3 million per annum, depending on factors such as experience, company size, and industry sector. However, it’s essential to note that these are broad ranges, and actual salaries may vary widely.
Common skills required for accounting and finance roles in Gauteng include strong technical knowledge of financial management principles, analytical and problem-solving skills, attention to detail, effective communication skills, and proficiency in financial software and systems. Additionally, many employers also value candidates with experience in budgeting, forecasting, and financial analysis. In some cases, a degree or diploma in accounting, finance, or a related field may be required.
Industries that commonly employ accounting and finance professionals in Gauteng include the financial services sector, technology industry, manufacturing sector, and public sector entities. These sectors require skilled professionals to manage their finances, prepare budgets, and provide strategic guidance on financial matters. Job seekers can expect to find opportunities across these sectors, from small businesses to large multinational corporations.
For those interested in pursuing a career in accounting or finance, there are many development opportunities available. Typically, professionals in this field can progress to senior roles, such as financial manager or director of finance, after gaining relevant experience and developing their skills. Additionally, many employers offer training programs and mentorship opportunities to support the career development of their employees.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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