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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Ensure the accuracy of the code entered into VClaim hospital billing details in the INACBG system and completeness of documents for submitting claims.
Collect claims supporting documents from the Front Office (OPD) and from medical records (IPD) and discuss with the Internal Verifier if there are potential findings for coding optimization.
Enter coding and hospital billing details in accordance with INACBG v5.2 and fill in the coding form.
Collaborate with Internal Verifier for necessary revisions after review of IV.
Ensure the completeness and quality of claim documentation in accordance with the BPJS Guide Book including organizing documents sequentially by SEP number and forwarding them to the Finance department for submission to BPJS.
Collect documents from Finance for each rejected claim.
Remain informed about the latest developments in BPJS coding and collaborate with the Finance department to integrate pertinent information into the BPJS Claim Standard Operating Procedure (SOP) as required.
Collaborate with Casemix managers and Internal Verificators to prevent fraud.
Qualifications :
Have minimum Diploma (D3) Degree from Nursing or Medical Record
Have minimum 1 year working experience in the field of BPJS operations.
Familiarity with coding systems such as ICD CPT and HCPCS is often required.
High attention to detail to ensure accurate coding and minimize errors.
Strong problemsolving abilities to address coding discrepancies and clarify documentation.
Informasi Tambahan :
HATIHATI PADA PENIPUAN
Siloam Hospitals Group kembali mengingatkan untuk tetap berwaspada pada modus penipuan yang mengatasnamakan Siloam!
Siloam tidak pernah memungut biaya apapun maupun bekerjasama dengan agen perjalanan dalam proses rekrutmen.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
