Clinical Coder

Medibank Private
    February 10, 2020
    Melbourne, Australia
    Job Type
    Reference No.
    Application Close Date
    Contact Title
    Talent Acquisition Partner
    Contact Name
    Nisha Gopinath
    Contact Email
    Contact Phone
    (03) 8622 5970


    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.

    The role

    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.

    About you

    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.

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