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Clinical Coding Auditor

AHP Medical Unit Trust
AU$100000 - AU$130000 per annum

Job Description

Permanenet Clinical Coding Auditor Role
Excellent Salary Package

About the Job

We are seeking an experienced Clinical Coding Auditor to work onsite for one our clients across the country. This is an exciting opportunity for a lifestyle change and to maximise your earning potential.

This Private Hospital is an acute care hospital providing an extensive range of inpatient, outpatient and critical care services. Equipped with the most advanced medical, surgical and diagnostic technology, The Hospital is able to provide the very best care to patients. As a world class tertiary facility many of their visiting specialists offer subspecialty expertise.

One opportunity we are currently seeking interest for is a permanenet full time clinical coding audtior role based in have worked in a busy tertiary hospital across a complex casemix Brisbane, Queensland. Our client is a busy private hospital where the clinical coding casemix is complex. The suitable applicant for this opportunity will have 5+ years of Clinical Coding and atleast 2+ years in auditing experience and will

The key responsibilities of the coding auditor role are:

  • Manage the administration of remote health fund audits, including review of ICD-10-AM/ACHI code, COF and AR-DRG assignment, as well as the identification and submission of supporting documentation for the purposes of claim validation, ensuring facility responses are provided within organisational and contractual timeframes
  • Manage the administration of onsite health fund AR-DRG audits, including pre-auditing of samples, sign-off of findings, post-audit processing, delivery of feedback sessions and implementation of quality improvement initiatives
  • Act as the principal point of contact for all Health Information Services related internal billing queries
  • Track and report on health fund audit activity, identifying trends/areas of financial risk and recommending appropriate solutions
  • Develop, implement and coordinate an internal clinical coding audit program, identifying non-compliance with Australian Coding Standards/National and State coding advice, over/under coding and documentation deficiencies with the aim of optimising AR-DRG allocation to accurately reflect patient complexity
  • Liaise with the Regional Coding Auditor and Educator to ensure ongoing alignment with organisational objectives

About the ideal candidate:

  • HIMAA Intermediate/Advanced Clinical Coding Course
  • Up to date extensive knowledge with at least 5 years Clinical Coding knowledge and recent experience using ICD-10-AM/ACHI/ACS at a medium to large acute hospital
  • Keen interest and understanding of the commercial implications of coded data
  • Excellent communication and organisational skills
  • Ability to prioritise and time manage
  • Problem solving ability
  • Keen interest and understanding of the commercial implications of coded data

About AHP Medical

We offer contract and permanent jobs to Clinical Coders, HIM's & Clinical Coding Auditors across Australia. If you are looking for new challenge and would like the opportunity to excel within your career then contact AHP Medical today.

For more information on this opportunity, please contact Yasemin Alevris on 0410 170 940 or email: