Clinical Coding Auditor Opportunity for Expertise
This role supports the clinical coding team within the quality and revenue assurance space. The successful candidate will have a sound understanding of Australian Clinical Coding Standards and national/state coding advice.
Key Responsibilities:
* Provide guidance to Clinical Coders on Australian Clinical Coding Standards and national/state coding advice.
* Review coded episodes prior to invoicing to minimize coding and documentation inaccuracies.
* Resolve ambiguities in coding and documentation by seeking clarification from relevant coding advisory committees and clinicians.
* Contribute to revenue recovery analysis, including identification and analysis of coding and documentation deficiencies.
* Participate in internal and external audits as required, following up on audit recommendations and reports.
* Perform data and revenue quality functions as needed.
* Liaise with stakeholders regarding coding and documentation issues.
Requirements:
* HIMAA Intermediate/Advanced Clinical Coding or auditing course.
* Strong background in clinical coding with at least 5 years of recent experience at a medium to large acute hospital.
* Keen interest in commercial implications of coded data.
* Competent in MS Excel.
* Excellent communication and organizational skills.
* Ability to prioritize and time manage.
* Bachelor of Applied Science in Health Information Management (or equivalent).
* Knowledge of webPAS patient administration system.