Clinical Coding Assurance Auditor (Pre-Billing Auditor)

Prince of Wales Private Hospital
Published
19/07/2021
Location
Sydney, Australia
Job Type
Full-Time, Part-Time
State
NSW
Application Close Date
2021/08/13
Contact Title
Revenue Integrity Lead
Contact Name
Diana Erika
Contact Email
Diana.VaafusuagaErika@healthscope.com.au
Contact Phone
0439 603 777

Description

Clinical Coding Assurance Auditor (Pre-Billing Auditor)

  • Supportive management
  • Key clinical coding auditing role
  • Previous experience in a clinical coding or coding auditing role at an Australian medium to large acute hospitalWorking in a supportive environment, this is an exciting career opportunity for an experienced Clinical Coder or Clinical Coding Auditor who is ready for a new challenge.
  • As the Clinical Coding Assurance Auditor your responsibilities will include:
  • Based in Randwick, Sydney, this established full time position in Prince of Wales Private Hospital supports our clinical coding team within the quality and revenue assurance space.
  • Review coded episodes prior to invoicing to minimise coding and documentation inaccuracies
  • Provide sound advice and guidance to Clinical Coders with respect to the Australian Clinical Coding Standards and National and State coding advice
  • Resolve ambiguities in the coding and documentation by seeking clarification from relevant clinicians
  • Contribute to the analysis of revenue recovery, including identification and analysis of coding and documentation deficiencies
  • Contribute to internal and external audits as required, including follow up on audit recommendations and reports
  • Perform data and revenue quality functions as required
  • Liaise with relevant stakeholders regarding coding and documentation issues.

Prince of Wales Private is a 168 bed high acuity facility located in the eastern suburbs of Sydney and is operated by Healthscope, a leading provider of private healthcare in Australia. Please visit our website www.princeofwalesprivatehospital.com.au for further information about our hospital and its services.

Essential Criteria:

  • Clinical Coding certificate from the Health Information Management Association of Australia Ltd (HIMAA)
  • At least five years of recent clinical coding or clinical coding auditing experience in an acute medium to large hospital
  • Proficient in Microsoft Excel.

Desirable Criteria:

  • Clinical Coding certificate from HIMAA at Advanced or Certification level
  • Clinical Coding Auditing certificate
  • Previous experience in a clinical coding or auditing role at an Australian private hospital
  • Working knowledge of private health funding models.

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