Clinical Coding Auditor Educator

Head Office - Brisbane; Brisbane; Hybrid; AUD 110,000 - 150,000; Full time

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

We are seeking an experienced Clinical Coding Auditor Educator to join our National Coding Education team and play a pivotal role in supporting the accuracy, integrity and quality of clinical coding across Ramsay Health Care.

This is an exciting opportunity for a coding professional who enjoys combining technical expertise with education, audit management and stakeholder engagement. Working closely with hospitals, revenue cycle teams and external payors, you will help ensure coding outcomes accurately reflect patient care, support funding integrity and drive continuous improvement across the organisation.

If you're passionate about coding excellence, enjoy analysing complex audit findings, and want to influence best practice across Australia's largest private hospital network, we'd love to hear from you.

What You'll Do

As a trusted subject matter expert, you will provide clinical coding audit and education support across the organisation, helping to strengthen coding accuracy, compliance and documentation quality.

Key responsibilities include:

• Undertake clinical coding audits and support the internal coding audit programs to ensure compliance with Australian Coding Standards and industry best practice.
• Manage and respond to external clinical coding and DRG audits / queries within required timeframes.
• Provide coding audit feedback to Coders, Clinical Documentation Specialists, Clinical Documentation Auditors and HIS Management
• Implement feedback loops with BAU functions and provide advice and insights 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 key stakeholders.
• Deliver education and coaching initiatives that enhance coding accuracy and clinical documentation quality.
• Analyse audit trends and prepare reports that support compliance monitoring and performance improvement.
• Maintain expert knowledge of Australian Coding Standards (ACS), ICD-10-AM, ACHI, DRG classifications and relevant billing requirements.
• Contribute to continuous improvement initiatives that strengthen coding integrity and revenue outcomes across Ramsay.

What You'll Bring

You are an experienced and detail-oriented clinical coding professional who combines strong technical capability with excellent communication and relationship-building skills.

To succeed in this role, you will demonstrate:

• Extensive knowledge of ICD-10-AM, ACHI and Australian Coding Standards.
• Experience in clinical coding, coding quality assurance, auditing or health information management.
• Sound understanding of DRG classification methodologies and hospital funding or billing processes.
• Experience reviewing and interpreting audit findings, identifying trends and driving improvement opportunities.
• Highly developed communication and stakeholder engagement skills.
• The ability to influence and collaborate effectively across clinical, operational, coding and payor environments.
• Exceptional attention to detail and commitment to coding accuracy, compliance and integrity.
• A proactive approach to continuous improvement and education.
• Qualifications in Health Information Management, Medical Record Administration, Clinical Coding or a related discipline (Certificate IV or higher).
• Clinical coding audit experience or external audit qualifications will be highly regarded.
• Experience within a private hospital environment will be advantageous.

Why Join Ramsay?

At Ramsay, we recognise that our people are our greatest asset. We are committed to providing a supportive and flexible working environment where you can thrive professionally and personally.

Benefits include:

• Competitive remuneration package aligned with your experience and expertise.
• Flexible and hybrid working arrangements designed to support work-life balance.
• Access to Ramsay Rewards, offering discounts across major retail, travel, lifestyle and entertainment brands.
• Ongoing professional development and career growth opportunities.
• The opportunity to work with a national network of coding and healthcare professionals.
• Be part of an organisation committed to innovation, continuous improvement and excellence in healthcare delivery.

About Ramsay Health Care

Founded in 1964, Ramsay Health Care is Australia's largest private hospital operator and a global leader in healthcare. Across Australia, we operate 76 hospitals and 12 day surgery units, caring for more than one million patients annually and employing over 30,000 people.

Guided by our philosophy of "People Caring for People", we are committed to delivering outstanding patient outcomes while supporting our people to reach their full potential. Through The Ramsay Way, we foster a culture built on respect, collaboration, accountability and continuous improvement.