- February 10, 2020
- Posted by:
About the role:
The Healthcare and Strategy team is focused on redefining the way healthcare will be purchased, funded and delivered in order to improve the health system experience. Our aim is to create a centre of excellence that is driven by innovation, clinical expertise, the patient experience and informed healthcare purchasing. Therefore we are building our capability by investing in provider management, analytics and insights capability.
We are currently seeking a Clinical Coder to join our Health Audit Team. You will be an active member of a team that:
Participates in data integrity activities to ensure compliance with hospital contractual agreements, Australian Coding Standards and other industry guidelines.
Analyses and reports on payment integrity data, outcomes and trends
Conducts hospital claim reviews, and manages other admission related queries
Provides accurate advice and guidance on payment integrity initiatives, including advice on casemix, DRG and clinical coding matters to internal and external stakeholders in relation to hospital claim payments.
Contributes to the development and implementation of solutions to ensure strong data quality and payment integrity
This is an exciting and diverse role based out of our award winning head office located in Melbourne’s Docklands and is supported by a team of Health Information Managers, Clinical Coders, Data Analysts, Clinicians and Claims specialists.
Medibank values professional development and provides opportunities for further training, including education and conferences applicable to the role.
Key skills and experience required include:
Certificate IV in Clinical Classification
At least 2 years post-graduate experience in a clinical coding position, preferably at tertiary level
Current coding experience with ICD-10-AM/ACHI
Sound knowledge of DRGs
Competent knowledge and skills with Microsoft Office products, particularly Excel
Advanced organisational skills and effective time management
Strong verbal and interpersonal skills
Strong attention to detail
Pro-active and Agile
Takes personal responsibility for ensuring high standards and quality of work with and end to end view
Knowledge and understanding of the private health insurance sector.