Senior Clinical Coding Auditor & Education Lead

Head Office - Brisbane; Melbourne; Hybrid; AUD 110,000 - 140,000; Full time

Benefits offered by this job

Hybrid working arrangements

Competitive remuneration package

Ramsay Rewards discounts

Professional development and growth

National coding network and peer/menta

Innovation and excellence in care

Job summary

Ramsay Health Care seeks an experienced Clinical Coding Auditor Educator to support the National Coding Education team, driving coding accuracy and education across Australia’s largest private hospital network. You will audit, educate and collaborate with hospitals, revenue cycle teams and external payors to improve documentation quality and funding integrity.

Join a national network and influence best practices in coding, auditing and continuous improvement, while delivering education and

Qualifications

• 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.

Responsibilities

• 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.
• Manage and respond to external clinical coding and DRG audits within required timeframes.
• 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.

Skills

ICD-10-AM knowledge

Australian Coding Standards

Communication skills

Stakeholder engagement

Education and coaching

Auditing experience

Private hospital experience

DRG awareness

Attention to detail

Quality assurance

Education

Health Information Management qualification (Certificate IV or higher)

Clinical Coding related discipline

Job description

Ramsay Health Care seeks an experienced Clinical Coding Auditor Educator to support the National Coding Education team, driving coding accuracy and education across Australia’s largest private hospital network. You will audit, educate and collaborate with hospitals, revenue cycle teams and external payors to improve documentation quality and funding integrity.

Join a national network and influence best practices in coding, auditing and continuous improvement, while delivering education and