Clinical Coding Audit & Education Specialist

Head Office - Brisbane

Brisbane

Hybrid

AUD 110,000 - 150,000

Full time

10 days ago

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Benefits offered by this job

Flexible and hybrid working
Ramsay Rewards
Ongoing professional development
National coding education network
Innovation in healthcare

Job summary

Ramsay Health Care is seeking an experienced Clinical Coding Auditor Educator to support the National Coding Education team. You will audit, educate and influence coding practices across Ramsay’s hospitals to strengthen accuracy, compliance and revenue integrity.

As a trusted SME, you will deliver audits, provide feedback, and lead education initiatives that improve documentation quality and coding maturity. Hybrid work arrangements and a collaborative national network are offered.

Qualifications

  • Extensive knowledge of ICD-10-AM, ACHI and Australian Coding Standards.
  • Experience in clinical coding, coding quality assurance, auditing or health information management.
  • Strong understanding of DRG classification methodologies and hospital funding or billing processes.
  • Experience reviewing and interpreting audit findings, identifying trends and driving improvement opportunities.
  • Excellent communication and stakeholder engagement skills; ability to influence across clinical, operational, coding and payor environments.
  • Exceptional attention to detail with a commitment to coding accuracy, compliance and integrity.
  • Proactive approach to continuous improvement and education.

Responsibilities

  • Undertake clinical coding audits and support internal coding audit programs ensuring ACS compliance.
  • Manage and respond to external coding and DRG audits/queries within required timeframes.
  • Provide audit feedback to Coders, Clinical Documentation Specialists, Auditors and HIS Management.
  • Implement feedback loops with BAU functions and provide advice to improve coding quality and accuracy.
  • Analyse audit outcomes to identify opportunities for coding, documentation and revenue improvement.
  • Build strong working relationships with hospitals, coding teams and external payor auditors.
  • Prepare and present audit findings, recommendations and performance insights to stakeholders.
  • Deliver education and coaching initiatives that enhance coding accuracy and documentation quality.
  • Analyse audit trends and prepare reports to support compliance monitoring and performance improvement.
  • Maintain expert knowledge of ACS, ICD-10-AM, ACHI, DRG classifications and billing requirements.

Skills

ICD-10-AM knowledge
ACHI knowledge
Australian Coding Standards
auditing/health information management
communication & stakeholder engagement
influence & collaboration across teams
attention to detail & coding accuracy
continuous improvement & education

Education

Health Information Management / Medical Record Administration / Clinical Coding degree or Diploma

Job description

Ramsay Health Care is seeking an experienced Clinical Coding Auditor Educator to support the National Coding Education team. You will audit, educate and influence coding practices across Ramsay’s hospitals to strengthen accuracy, compliance and revenue integrity.

As a trusted SME, you will deliver audits, provide feedback, and lead education initiatives that improve documentation quality and coding maturity. Hybrid work arrangements and a collaborative national network are offered.

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