Sanitas Krankenversicherung
Bern
Yesterday
Specialist DRG and outpatient flat rates (m/f/d),<br/>80%, Bern / hybrid
- Publication date:26 November 2025
- Workload:80%
- Contract type:Unlimited employment
- Place of work:Bern
Job summary
Join our dynamic team to review SwissDRG and TARPSY invoices. Enjoy a flexible work environment with great benefits!
Tasks
- Examine and challenge SwissDRG, TARPSY, and ST Reha bills based on documentation.
- Conduct medical reviews of outpatient flat-rate invoices.
- Collaborate closely with internal coders on performance assessment.
Skills
- You have a nursing diploma and at least 2 years of experience.
- Fluent in German and another national language, both written and spoken.
- Strong IT skills and knowledge of commercial processes.
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About the job
What you achieve:
- Review and, if necessary, objection of SwissDRG (acute), TARPSY- (psychiatry) and ST rehab invoices based on medical documentation and the Minimal Clinical Dataset (MCD)
- Medical review of invoices with outpatient flat rates
- Assessment of the obligation to provide services
- Responding to inquiries from hospitals
- Networking and close collaboration with coders from internal performance management
Why you succeed:
- In addition to a diploma as a registered nurse HF, AKP, DNII, you have at least 2 years of professional experience
- You communicate confidently orally and in writing in German and another national language
- Your independent, responsible and team-oriented way of working distinguishes you
- You have commercial knowledge and are IT-savvy
- A completed basic course for medical SwissDRG specialists is an advantage
Our progressive working conditions include, among others:
- Flexible annual working time model with at least 5 weeks of vacation
- Modern offices in urban locations
- Generous regulations for working from home
- Participation in the health insurance package
- Contributions to the pension fund well above the legal minimum
- Forward-looking issues and a wide range of training and further education opportunities
