In Hospital Case Manager
Core
Utilizing clinical knowledge to mitigate financial risk through accurate coding of hospital events, justifying levels of care and length of stay, and communicating with funders.
Role type
In-hospital case manager
Builds
Hospitalization authorizations and billing releases
Domain
Healthcare / Managed Health Care
Deliverable
client delivery
Required skills
Clinical nursing knowledge, ICD-10/CPT coding, Medical aid benefit risk monitoring, Stakeholder liaison, Compliance with health care regulations, Billing release processes
Preferred skills
SAP IS-H experience, Microsoft Office proficiency
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