About Company
Mahalapye District Hospital is a cornerstone of public healthcare in the Central District of Botswana, dedicated to providing comprehensive and compassionate medical services to our community. As a government-operated institution, we are committed to upholding the highest standards of patient care, clinical excellence, and community health initiatives. Our hospital plays a vital role in the national healthcare system, offering a wide range of services from emergency care to specialized medical treatments, all within a supportive and professional environment. We pride ourselves on our team of dedicated healthcare professionals who work tirelessly to ensure the well-being of every patient. Joining Mahalapye District Hospital means becoming part of a mission-driven organization focused on making a tangible difference in people’s lives through quality healthcare.
Job Description
We are seeking a meticulous and highly organized Healthcare Billing and Coding Analyst to join our administrative team at Mahalapye District Hospital. This critical role is essential for maintaining the financial health of our institution by ensuring accurate and timely processing of medical claims, coding of diagnoses and procedures, and managing patient billing. The ideal candidate will possess a deep understanding of medical terminology, CPT, ICD-10, and HCPCS coding systems, as well as a thorough knowledge of medical insurance policies and billing regulations in Botswana. You will be responsible for reviewing patient records, assigning appropriate codes, preparing and submitting claims to various payers, and resolving any billing discrepancies or rejections. This position requires strong analytical skills, exceptional attention to detail, and the ability to work collaboratively with clinical staff, patients, and insurance providers. Your expertise will directly impact our operational efficiency and our ability to continue providing essential healthcare services to the Mahalapye community. If you are passionate about healthcare administration and possess the skills to navigate the complexities of medical billing and coding, we encourage you to apply.
Key Responsibilities
- Accurately assign CPT, ICD-10-CM, and HCPCS codes to diagnoses, procedures, and services based on medical documentation.
- Review clinical documentation to ensure codes are supported and compliant with government and payer guidelines.
- Prepare and submit electronic and paper claims to various insurance companies, government programs, and third-party payers.
- Investigate and resolve denied or rejected claims by reviewing Explanation of Benefits (EOB) and taking corrective action.
- Manage patient billing inquiries, explain charges, and process payments or establish payment plans.
- Maintain up-to-date knowledge of coding guidelines, healthcare regulations, and payer requirements.
- Collaborate with clinical staff to clarify documentation, ensuring accuracy and completeness for billing purposes.
- Perform regular audits of medical records and billing practices to identify areas for improvement and ensure compliance.
- Assist in the development and implementation of billing and coding policies and procedures.
- Generate financial reports related to billing, collections, and outstanding accounts.
Required Skills
- Proficiency in CPT, ICD-10-CM, and HCPCS coding systems.
- Strong understanding of medical terminology, anatomy, and physiology.
- Demonstrated experience with electronic health records (EHR) and medical billing software.
- Excellent analytical and problem-solving abilities.
- High level of accuracy and attention to detail.
- Ability to interpret and apply complex billing and coding regulations.
- Effective written and verbal communication skills.
- Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
Preferred Qualifications
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
- Diploma or Degree in Health Information Management, Business Administration, or a related field.
- Experience working within a public healthcare system in Botswana.
- Familiarity with local healthcare insurance providers and their billing protocols.
Perks & Benefits
- Competitive salary package.
- Comprehensive health insurance benefits.
- Opportunities for professional development and continuous learning.
- Contribution to a vital public service.
- Supportive and collaborative work environment.
- Generous paid time off.
- Pension scheme contribution.
How to Apply
Interested and qualified candidates are encouraged to apply by clicking on the application link below. Please ensure your application includes a detailed CV and a cover letter outlining your relevant experience and qualifications. Only shortlisted candidates will be contacted for an interview. We thank all applicants for their interest in Mahalapye District Hospital.