Road Accident Fund Recruitment 2023/2024

Key Performance Areas

Lead and Develop Clinical Coding and Tariffs within the protocol development Team

• Provide clinical coding input for the design and maintenance of in and out of hospital specific baskets of treatments for various conditions.
• Develop, update and maintain the RAF Tariff
• Assist with the correct maintenance of ICD10, NRPL, Nappi, and CCSA codes on the system.
• Provide support to the business on coding issues.

Training and Transfer of Coding Knowledge and Provide Coding Information and Support for the Road Accident Fund

• Provide CRM support to various units within the organization and resolve their clinical coding and systems queries.
• Assist with clinical input on the implementation and maintenance of the Rules Engine project for all tariffs and modifiers at medical invoice processing and pre-authorisation level.
• Attend ICD10 code workshops and workshops on tariff structures conducted by SAMA, DOH, Clinical Coding committee, and other official bodies and provide feedback to business and IT
• Provide coding support and feedback at various case management and claims meetings.

Policy review and implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.

Stakeholder Management

• Liaise with medical doctors and other external service providers on coding and clinical issues.
• Support in the identification, development and implementation of cost-effective processes in order to increase efficiency and reduce cost drivers related to the area of specialization
• Liaise with external role players regarding tariffs and coding and keep abreast of changes and developments within the medical industry.
• Ability to interact with other stakeholders within the organisation, including ICT for development of system automation of baskets of care for MVA clinical conditions.

Reporting

• Prepare and submit regulation reports as and when required to provide progress updates and/ or inform management decisions.
• Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
• Develop functional reporting systems, for management, projects or performance reporting.
• Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

Administration and Report Writing

• Collect relevant statistics to inform future decisions.
• Compile monthly reports.
• Ensure processes are in place to have accurate and timeous information on coding.
• Perform administrative duties as and when required.