Coding Auditor/educator

7 months ago

Sydney, Australia Calvary Full time

As Calvary Healthcare undertakes a new approach to the National Coding Model, we are keen to further build on our well-established National Revenue Team and invest further into our Clinical Coding Audit / Education Team.

In this role you will support the Calvary Revenue Cycle Team by participating in all aspects of ICD-10-AM Coding, documentation improvement and health fund contract compliance. The Auditor / Educator will playing a pivotal role in developing and delivering Coding education and training programs, revenue optimisation and provide advice and interpretation of specific coding, Casemix and DRG related matters.

This is a Permanent Part Time / Full Time Auditor / Educator hybrid position to support the Calvary Private hospitals and virtual hospital. The role will require the Auditor / Educator to travel to Calvary facilities - South Australia, Canberra, NSW, Victoria and Tasmanian sites. The role can be based in any hospital or head office - open to discuss hybrid (WFH) opportunities.

Main Duties
- Developing and delivering coding education and training programs.
- Coordinate audit and education cycles to identify areas for improvement and revenue optimisation.
- Participate in health fund onsite and remote auditing programs.
- Support Revenue Cycle team in assessing Casemix variations, audit queries and identify and implement process and education improvements.
- Liaise with clinical staff and provide advice on coding, Casemix and documentation matters.
- Identify clinical documentation deficiencies and provide education and support to Clinical Documentation Specialists.

About you
- Bachelor of Applied Science (Health Information Management) or equivalent tertiary qualification; or Completion of approved HIMAA course in ICD-10-AM advanced coding.
- Experience and demonstrated excellence in Clinical Coding using ICD-10-AM Classification system across broad Casemix for a period of at least 5 years is essential and experience in a hospital or health care setting is desirable.
- Post graduate qualification in Clinical Coding auditing.
- Extensive experience with the private health sector funding and billing requirements.
- Knowledge of DRG’s and Casemix funding
- Willing to travel and work interstate for periods of time across all Calvary Private Hospitals sites (NSW, ACT, SA, VIC, TAS)
- Develop and maintain strong interpersonal relationships with internal and external stakeholders.
- Strong Computer literacy
- Proven ability to work independently as well as in a team environment.
- Ability to effectively prioritise and work to tight deadlines.

Why work at Calvary?
At Calvary, our staff matter.
With over 130 years’ experience and 18,000 staff and volunteers, we offer an inclusive and welcoming culture where you are valued, drawing on your own thoughts, identity and background alongside a team of professionals who care for our patients, residents and clients.

**Your benefits**:

- NFP salary packaging benefits, discounted health insurance and gym memberships
- Training, development pathways and career opportunities
- Flexible hours that make sense for you

**Please note the following**:

- You will be required to provide evidence of immunisation as required for your role including Covid-19, influenza, tuberculosis screening, hepatitis, diphtheria, tetanus, varicella (recruiter to delete irrelevant vaccinations).

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