WW6526 - Senior Clinical Coding Auditor - (Casual / Contract) - Pavilion Health - Kirribilli, NSW


  • Attractive Hourly Rate based on individual experience and;
  • Flexible working arrangements.
  • The role and responsibilities will be carried out on behalf of Pavilion Health, an Australian-based company focused on providing services and technology solutions to Australian and international healthcare organisations (both public and private) that improve the quality and efficiency of the clinical coding and auditing process.

    We are looking to expand our team of full and part-time auditing team with a casual pool of experienced Senior Clinical Coding Auditors to undertake audit and compliance verification of clinical coding quality and procedure, primarily in acute care facilities, using Pavilion Health audit tools and processes. The successful professionals will be required to uphold the Pavilion Health principles of integrity, discretion, objectivity and confidentiality.


Responsibilities / Duties: 
  • To undertake coding audits across various hospitals, private or public, and other health related organisations
  • Understand and apply differing approaches required as dictated by the audit objectives e.g. documentation quality, coding quality, billing accuracy
  • To develop concise reports of audit results and communicate feedback to the hospital or health related organisation as required
  • Work with multiple stakeholders – internal or external to Pavilion Health
  • Provide feedback / recommendations on the audit methodology framework and toolsUnderstand how hospitals can improve billing accuracy in a case-mix environment through improved understating of accurate coding and assignment of DRGs


Essential: 
  • Completion of Health Information Management Advanced HIMAA ICD-10-AMclinical coding course HIMAA (or equivalent)
  • Three years of recent clinical coding/auditing of complex case mix activity, including in ICD-10-AM/ACHI/ACS tenth edition
  • Thorough understanding of Australian Coding Standards and any other relevant regulations and standards
  • travel on site options available, but majority of work is on-line auditing
  • Highly developed organisation and interpersonal skills
  • Experience with Excel, Word, and other office tools
  • Experience with a variety of hospital information systems
  • Knowledge of NHSQS and State and Commonwealth Legislation on Privacy and Confidentiality e.g. HRIPA 2002


Desirable: 
  • La Trobe University Clinical Coding Auditing Course – completed at External Auditor level – or equivalent experience
  • Have an understanding of private payer models i.e. HPPA’s


Enquiries: 

Cassandra Rupnik
Senior HIM - Market Development
Phone: 0400423418
Email: cassandra.rupnik@pavilion-health.com

Applications Close On: 
15 March 2019