Clinical Coding Intelligence Specialist
4 weeks ago
Role Overview
Bupa is seeking a skilled Clinical Coding Intelligence Analyst to join our team. As a key member of our Healthcare Insights team, you will play a pivotal role in improving our understanding of healthcare data through a clinical coding lens.
Key Responsibilities
- Conduct data analysis using clinical coding intelligence to identify trends, patterns, and anomalies related to healthcare costs, case-mix, utilization, and outcomes.
- Support the development of risk adjustment tools for benchmarking purposes.
- Present complex data in a clear and actionable manner and translate data findings into actionable insights and strategic recommendations for stakeholders.
- Embed robust clinical coding intelligence into our clinical tools that support ongoing HCM strategies.
- Develop a suite of clinical coding crosswalks, facilitating the translation of codes between different classification systems.
- Lead strategy development and implementation of ongoing management of Diagnosis Related Grouper (DRG) versions and the application to Bupa's funding models and claims system integration.
- Represent Bupa in industry-related engagements and working groups regarding clinical classification tools and DRG Grouper development.
- Present findings and recommendations to senior management and other key stakeholders.
Requirements
- Tertiary qualifications in Clinical Coding or Healthcare Information Management and/or Health Science field beneficial.
- Certified Professional Coder (CPC) or Coding Specialist (CCS)
- Minimum of 3-5 years of experience in clinical coding (preferably in a hospital environment), data analysis, with a strong understanding of coding systems in Australia i.e. ICD-10, ACHI and ACS, and coding in other global healthcare markets
- Significant knowledge of healthcare data, clinical coding, case-mix principles, risk adjustment and the ability to build financial and benchmarking models.
- Proficiency in data analysis tools and software (e.g., SQL, SAS, Tableau, Excel, R and Python)
- Understanding of the Australian healthcare system and its ongoing reform
- Experience with private healthcare sector and regulatory requirements.
- Proven capacity to communicate complex data insights clearly to technical and non-technical audiences.
- Proven capacity to work well independently and to collaborate with others, as required.
- Excellent analytical, problem-solving, and critical-thinking skills.
- Strong attention to detail and commitment to data accuracy.
- Exceptional written and presentation skills and the ability to convert data into insight and prepare compelling, persuasive reports and presentations suitable for executive and board level content.
- Excellent time management skills
- A track record of achievement and delivery
What's in it for you?
As well as a competitive salary, a range of Bupa benefits and flexible working/ work from home, you'll be challenged and encouraged to innovate. You will collaborate strongly with colleagues who are committed to delivering exceptional experiences. We trust, respect, and consider everyone, knowing your difference will make the difference.
- Discount on our health insurance, travel, car, home, contents, and pet insurance products as well as Bupa services such as Dental and Optical
- A 'People First' wellness program – SMILE. Provides a range of services such as health coaches, annual skin checks and flu vaccinations, assistance with nutrition, mental and general well-being guides, and product discounts. You will feel happier & healthier for working at Bupa
Bupa is an equal opportunities employer and welcomes applicants from all cultural backgrounds, genders, and abilities. If you require any adjustments to participate in our recruitment process, please let us know at the time of your application.
-
Clinical Coding Intelligence Specialist
4 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob SummaryBupa is seeking a highly skilled Clinical Coding Intelligence Analyst to join our team. As a key member of our Healthcare Insights team, you will play a pivotal role in improving our understanding of healthcare data through a clinical coding lens.Key ResponsibilitiesAnalyse large datasets to identify trends, patterns, and anomalies related to...
-
Clinical Coding Intelligence Specialist
4 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob SummaryThe Clinical Coding Intelligence Analyst will play a pivotal role in improving our understanding of healthcare data through a clinical coding lens. This role is responsible for identifying clinical trends and insights from our claims and alternative data sources, supporting the development of risk adjustment tools for benchmarking purposes.Key...
-
Clinical Coding Intelligence Specialist
4 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob SummaryBupa is seeking a skilled Clinical Coding Intelligence Analyst to join our team. As a key member of our Healthcare Insights team, you will play a pivotal role in improving our understanding of healthcare data through a clinical coding lens.Key ResponsibilitiesAnalyse large datasets to identify trends, patterns, and anomalies related to healthcare...
-
Clinical Coding Specialist
6 days ago
Melbourne, Victoria, Australia Healthscope Full timeAbout the RoleWe are seeking an experienced Clinical Coder to join our Health Information Services team at Holmesglen Private Hospital, a state-of-the-art 147-bed hospital in Melbourne.Key ResponsibilitiesCoding and data entry for medical recordsCollaboration with the Clinical Documentation Specialist teamParticipation in education and quality...
-
Clinical Coding Specialist
1 week ago
Melbourne, Victoria, Australia Castlemaine Health Full timeAbout UsDhelkaya Health is a regional health service located on Dja Dja Wurrung country in Victoria, Australia.We are seeking a qualified Clinical Coding Specialist to join our team in January 2025.The RoleThis is an ongoing part-time role (32 hours per fortnight) with a competitive salary package of $75-$90 per hour, dependent on experience.The successful...
-
Clinical Coding Specialist
4 weeks ago
Melbourne, Victoria, Australia Tideri Jobbörse Full timeKey Responsibilities:As a Clinical Coding Specialist, you will be responsible for accurately coding episodes using ICD-10-AM in accordance with Australian Coding Standards and relevant state and national advice. You will also ensure that all coding is completed in a timely manner and participate in documentation improvement and revenue optimisation...
-
Clinical Coding Specialist
2 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob SummaryBupa is looking for an experienced Clinical Coding Auditor to join our team. As a Clinical Coding Auditor, you will play a key role in ensuring hospital claims are accurate and compliant with regulatory requirements.About the RoleWe are seeking a seasoned Clinical Coding Auditor with extensive experience in healthcare clinical coding auditing,...
-
Healthcare Professional
4 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeClinical Coders play a vital role in ensuring the accuracy and consistency of health information. As a Clinical Coder / Health Information Manager at Healthscope, you will be responsible for coding, coding, and more coding. You will collaborate with our fabulous Clinical Documentation Specialist team, participate in education and quality activities, and have...
-
Health Information Manager
4 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeClinical Coders play a vital role in the healthcare industry, and we are seeking a skilled professional to join our Health Information Services team at Holmesglen Private Hospital, part of Healthscope.As a Clinical Coder and Health Information Manager, you will be responsible for coding, coding, and more coding, collaborating with our fabulous Clinical...
-
Medical Coding Specialist
1 week ago
Melbourne, Victoria, Australia Healthscope Full timeWe are seeking a highly skilled Medical Coding Specialist to join our team at Holmesglen Private Hospital, part of Healthscope. As a leading private hospital operator and healthcare provider in Australia, we pride ourselves on delivering exceptional care to our patients.Key Responsibilities:Coding, coding, and more codingCollaborate with our Clinical...
-
Medical Coding Specialist
1 week ago
Melbourne, Victoria, Australia Healthscope Full timeAbout the Role: As a Medical Coding Specialist at Healthscope, you will play a critical role in ensuring the accuracy and efficiency of our clinical coding processes.Key Responsibilities: Coding and data analysis to support quality improvement initiativesCollaboration with healthcare professionals to ensure accurate and complete medical recordsParticipation...
-
Medical Coding Specialist
5 days ago
Melbourne, Victoria, Australia Healthscope Full timeAbout UsHealthscope is a leading national private hospital operator and healthcare provider in Australia, with 42 sites across the country.Role OverviewWe are seeking an experienced Clinical Coder to join our team at Holmesglen Private Hospital in Melbourne's South Eastern region.Salary and BenefitsThe successful candidate will receive a competitive hourly...
-
Health Information Manager
6 days ago
Melbourne, Victoria, Australia Peoplesolved Australia Full timeAbout the RoleThis leadership opportunity is available within our expanding Clinical Coding Service team at Austin Health. Reporting to the Coding Manager, you will work alongside two experienced Senior Health Information Managers in the Education Portfolio.As a key member of our team, your responsibilities will include providing high-quality coding of...
-
Clinical Coding Auditor
1 month ago
Melbourne, Victoria, Australia Bupa Full timeJob Title: Clinical Coding AuditorWe are seeking a seasoned Clinical Coding Auditor to join our team at Bupa. As a Clinical Coding Auditor, you will play a critical role in ensuring hospital claiming compliance by conducting onsite and desktop clinical coding reviews.Key Responsibilities:Conduct regular onsite and desktop provider audits to ensure compliance...
-
Clinical Coding Auditor
4 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob SummaryWe are seeking a seasoned Clinical Coding Auditor to join our team at Bupa. As a Clinical Coding Auditor, you will play a critical role in ensuring hospital claiming compliance by conducting onsite and desktop clinical coding reviews.Key ResponsibilitiesConduct regular onsite and desktop provider audits to ensure compliance with coding and billing...
-
Senior Health Information Manager
4 weeks ago
Melbourne, Victoria, Australia Peoplesolved Australia Full timeAbout the RoleWe are seeking a highly skilled Senior Health Information Manager to join our Clinical Coding Service team at Austin Health. As a key member of our team, you will be responsible for providing high-quality coding of inpatient episodes, using ICD-10-AM classification and 3M Australian Grouping and Coding Applications software in accordance with...
-
Senior Health Information Manager
4 weeks ago
Melbourne, Victoria, Australia Peoplesolved Australia Full timeAbout the RoleThe Clinical Coding Service at Austin Health is seeking a Senior Health Information Manager to join their team. As a key member of the Education Portfolio, you will work alongside experienced Senior Health Information Managers to provide education and training to Health Information Managers and Clinical Coders.Key ResponsibilitiesProvide...
-
Health Information Manager
4 weeks ago
Melbourne, Victoria, Australia Castlemaine Health Full timeJob Title: Health Information ManagerAt Castlemaine Health, we are seeking a highly skilled Health Information Manager to join our team. As a key member of our health information services team, you will be responsible for ensuring the accuracy and integrity of our health information systems.Key Responsibilities:Develop and implement health information...
-
Clinical Coder Specialist
4 weeks ago
Melbourne, Victoria, Australia Castlemaine Health Full timeJob Title: Clinical Coder SpecialistWe are seeking a skilled Clinical Coder Specialist to join our team at Dhelkaya Health. As a Clinical Coder Specialist, you will play a vital role in ensuring the accuracy and completeness of clinical documentation.You will be responsible for coding patient records using the appropriate classification systems, including...
-
Clinical Pharmacology Specialist
1 week ago
Melbourne, Victoria, Australia Avance Clinical Pty Full timeAbout UsAvance Clinical is a leading Contract Research Organisation (CRO) dedicated to supporting drug development for the pharmaceutical and biotechnology industry. With over 30 years of experience, we have established ourselves as experts in our field, providing specialised services that cater to the unique needs of our clients.The OpportunityWe are...
