Clinical Coding Auditor/Educator

3 weeks ago

Canberra, ACT, Australia Calvary Care Full time
About the Role

We are seeking a highly skilled Clinical Coding Auditor/Educator to join our team at Calvary Care. As a Senior Coding Specialist, you will play a pivotal role in integrating education, quality, and operational needs into a reliable and informative centralized point for the National Coding Team.

The successful candidate will support the Calvary Revenue Cycle Team by participating in all aspects of ICD-10-AM Coding, documentation improvement, and health fund contract compliance. You will develop and deliver coding education and training programs, coordinate audit and education cycles to identify areas for improvement and revenue optimization, and participate in health fund onsite and remote auditing programs.

Main Responsibilities:

  • Develop and deliver coding education and training programs
  • Coordinate audit and education cycles to identify areas for improvement and revenue optimization
  • 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

  • Postgraduate qualification in Clinical Coding auditing 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
  • Extensive experience with the private health sector funding and billing requirements
  • Knowledge of DRGs and Casemix funding
  • Willingness to travel and work interstate for periods of time across all Calvary Private Hospitals sites in NSW, ACT, SA, VIC, or TAS
  • Strong computer literacy and proven ability to work independently as well as in a team environment
  • Ability to effectively prioritize and work to tight deadlines

Why Work at Calvary?

At Calvary, our staff matter. 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

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