Coding Auditor

1 week ago

Melbourne, Victoria, Australia Medibank Full time $104,000 - $160,000 per year

Job description:

You're only human.

It's a strange thing to say, because us humans are capable of incredible things. And at Medibank, we know our greatest potential lies in the people who work with us.

We strive to make real, fundamental change, driven by a simple purpose: to create the best health and wellbeing for all of Australia.

The position sits in the Payment Integrity team in the Health Partnerships & Networks Hub.

A key aspect of this role involves leading and conducting comprehensive DRG audits onsite across various locations, ensuring adherence to Australian Coding Standards and other industry guidelines. You will play a central role in managing analytics-driven audit leads, coordinating audit schedules, and overseeing the entire audit process from initiation through to resolution.

Excitingly, this role offers hybrid working arrangement, with flexibility when you are not onsite.  Interested in exploring flexible work arrangements? We'd love to chat about how we can support this.

Some of your responsibilities will include:

  • Execute audits, assist in development of the onsite audit program, and assess risk controls and audit report writing.
  • Lead Medibank staff in understanding key issues of clinical coding/DRG and other contracting issues and the impact on business outcomes and effectiveness.
  • Guide Providers to resolve clinical coding / DRG and other claiming disparities.
  • Provide support to team members in meeting the priorities of within Payment Integrity.

About you:

Enough about us, let's talk about you

You will have a bachelor's qualification in Health Information Management or Clinical Coding and professional certification in Clinical Coding Auditing.

This position requires a strategic thinker with excellent negotiation skills, exceptional report-writing abilities, and strong organisational capabilities to manage travel and expenses efficiently.

You are highly organised and have a strong attention to detail. Multi-tasking and time management skills come as second nature to you.

Now, let's talk technical skills - you will have a keen eye for detail and a thorough understanding of auditing standards and procedures and provide accurate advice on relevant clinical coding / DRG assignment.

You are a whizz with Excel and the Microsoft Suite of products.

While not mandatory, a knowledge and understanding of the private health insurance sector, will be highly regarded.

Imagine working with us

We understand that work means different things to everyone...  We know happy, healthy people make great teams, and great teams put more heart into each customer and patient interaction. And that's why we're reinventing work.

Imagine a workplace where work didn't feel like work. A workplace where you could shape when and where you work to have more impact. Where flexible working isn't a buzzword, it's a reality.

Imagine a workplace that helps you and your family thrive.  Where connection, personal development and health and wellbeing are front of mind. To learn more about our benefits go to 

For you, work should help you Live Better. It should bring you fulfillment and joy. And with Medibank, it could.

Inclusion and Accessibility

We believe in everyone's potential and strive to make Medibank inclusive for all because different perspectives make us better. We encourage applications from everyone, including Aboriginal and Torres Strait Islander candidates, those with disabilities, and LGBTQIA+ community including transgender and gender diverse applicants.

For any adjustments or alternative formats during the recruitment process, please contact us at  To learn about our commitments and employee experiences, go to

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