Hybrid DRG Audit Lead: Clinical Coding & Health Information

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

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.