Coding Auditor - Health Information Manager / Clinical Code

Medibank; Victoria; Hybrid; AUD 80,000 - 100,000; Full time

Job summary

A leading health service provider in Victoria is looking for a qualified professional to lead auditing functions within the Payment Integrity team. The role involves executing audits, providing training on clinical coding, and supporting the audit process from start to finish. Ideal candidates will hold a relevant bachelor's degree and professional certification, and possess strong organizational and negotiation skills, alongside proficiency in Excel. Flexible working arrangements are available.

Qualifications

• Bachelor’s qualification in Health Information Management or Clinical Coding.
• Professional certification in Clinical Coding Auditing required.
• Strategic thinking and excellent negotiation skills essential.

Responsibilities

• Execute audits and assist in developing the onsite audit program.
• Lead staff in understanding clinical coding and DRG issues.
• Guide providers to resolve coding and claiming disparities.

Skills

Strategic thinking

Negotiation skills

Report writing

Organizational skills

Attention to detail

Multi-tasking

Time management

Knowledge of auditing standards

Excel proficiency

Education

Bachelor’s qualification in Health Information Management or Clinical Coding

Professional certification in Clinical Coding Auditing

Tools

Microsoft Suite

Job description

You’re only human.

It’s a strange thing to say, because us humans are capable of incredible things. And at Medibank, we know our greatest potential lies in the people who work with us.

We strive to make real, fundamental change, driven by a simple purpose : to create the best health and wellbeing for all of Australia.

The position sits in the Payment Integrity team in the Health Partnerships & Networks Hub.

A key aspect of this role involves leading and conducting comprehensive DRG audits onsite across various locations, ensuring adherence to Australian Coding Standards and other industry guidelines. You will play a central role in managing analytics-driven audit leads, coordinating audit schedules, and overseeing the entire audit process from initiation through to resolution.

Excitingly, this role offers hybrid working arrangement, with flexibility when you are not onsite. Interested in exploring flexible work arrangements? We’d love to chat about how we can support this.

Some of your responsibilities will include :

• Execute audits, assist in development of the onsite audit program, and assess risk controls and audit report writing.
• Lead Medibank staff in understanding key issues of clinical coding / DRG and other contracting issues and the impact on business outcomes and effectiveness.
• Guide Providers to resolve clinical coding / DRG and other claiming disparities.
• Provide support to team members in meeting the priorities of within Payment Integrity.

About you :

Enough about us, let’s talk about you!

You will have a bachelor’s qualification in Health Information Management or Clinical Coding and professional certification in Clinical Coding Auditing.

This position requires a strategic thinker with excellent negotiation skills, exceptional report‑writing abilities, and strong organisational capabilities to manage travel and expenses efficiently.

You are highly organized and have a strong attention to detail. Multi‑tasking and time management skills come as second nature to you.

Now, let’s talk technical skills - you will have a keen eye for detail and a thorough understanding of auditing standards and procedures and provide accurate advice on relevant clinical coding / DRG assignment.

You are a whizz with Excel and the Microsoft Suite of products.

While not mandatory, a knowledge and understanding of the private health insurance sector, will be highly regarded.

Imagine working with us

We understand that work means different things to everyone... We know happy, healthy people make great teams, and great teams put more heart into each customer and patient interaction. And that’s why we’re reinventing work.

Imagine a workplace where work didn’t feel like work. A workplace where you could shape when and where you work to have more impact. Where flexible working isn’t a buzzword, it’s a reality.

Imagine a workplace that helps you and your family thrive. Where connection, personal development and health and wellbeing are front of mind. To learn more about our benefits go to

For you, work should help you Live Better. It should bring you fulfillment and joy. And with Medibank, it could.

Inclusion and Accessibility

We believe in everyone's potential and strive to make Medibank inclusive for all because different perspectives make us better. We encourage applications from everyone, including Aboriginal and Torres Strait Islander candidates, those with disabilities, and LGBTQIA+ community including transgender and gender diverse applicants.

For any adjustments or alternative formats during the recruitment process, please contact us at

.To learn about our commitments and employee experiences, go to