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Coding auditor

Melbourne
Calvary
Auditor
Posted: 3 December
Offer description

* 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 Full-time and Part-time opportunities available
* Flexible location across VIC, NSW, SA, ACT and TAS


About the role

As Calvary Healthcare continues to build upon our recently established National Centralised Coding Model, we are keen to continue to support our well-established National Revenue Team and invest further into our Clinical Coding Audit / Education Team. As a Senior Coder, 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.

We 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, Tasmanian, NSW and Victorian sites. The role can be based in any hospital or head office – open to discuss hybrid (WFH) opportunities.


Your main duties will include:

* 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.


About you

* Minimum five years coding experience preferably in a hospital or healthcare setting
* Experience with the private health sector funding and billing requirements.
* Knowledge of DRG's and Casemix funding
* Bachelor of Applied Science (Health Information Management) or equivalent tertiary qualification; or Completion of approved HIMAA course in ICD-10-AM advanced coding.
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