Coding Auditor/Educator

2 weeks ago

Canberra, ACT, Australia Calvary Full time

Progress with purpose at one of Australia's largest health care providers
Get ahead with salary packaging, benefits and professional development in a supportive team environment
Flexible Working arrangements
Permanent part time/full time opportunities available
About the role
As Calvary Healthcare undertakes a new approach to a National Centralised 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. As a Senior you will play a pivotal role in integrating education, quality and Calvary operational needs into a reliable and informative centralised point for the National Coding Team
The role supports 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 participate in developing and delivering Coding education and training programs, revenue optimisation and provide advice and interpretation of specific coding, Casemix and DRG related matters.
Wen have Permanent Part Time or Full Time Auditor and Educator positions to support the Calvary Private hospitals and virtual hospital. The role will require the Auditor / Educator to travel occasionally to our 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.
**Some of your main duties will include**:
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
Post graduate 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 is essential
Extensive experience with the private health sector funding and billing requirements.
Knowledge of DRG's 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 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**:

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