•Ensure the accuracy of the code entered into V-Claim, hospital billing details in the INA-CBG 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 INA-CBG 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.
•Have minimum Diploma (D3) Degree from Nursing or Medical Record
•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 problem-solving abilities to address coding discrepancies and clarify documentation.
•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 problem-solving abilities to address coding discrepancies and clarify documentation.
[BEWARE OF RECRUITMENT SCAMS]
It has come to our attention that there are fake job offers claiming to be hiring for Siloam Hospitals Group. Please note that Siloam Hospitals Group do not require applicants to make payment when seeking employment with our hospitals.
Siloam International Hospitals (Siloam) is Indonesia’s most progressive and innovative healthcare provider that has set the benchmark for high quality healthcare services in Indonesia. Siloam’s medical team of more than 500 general practitioners, 2,200 specialist doctors, and 9,000 nurses, allied health, and support staff, offers international quality healthcare services to nearly two million patients annually.
With equal access to medical care in Indonesia still a challenge, Siloam’s business strategy allows its hospital to operate on a lower cost based on economic of scale. Hence, Siloam is able to increase affordability from all socio-economic backgrounds and provide access to quality and affordable healthcare all over Indonesia. The company’s vision of International quality, reach, scale, and godly compassion establishes the platform for Siloam to respond to the dynamic social transformation in Indonesia.
