Clinical Coder / Health Information Manager

Job Description

Clinical Coder / Health Information Manager Why Bupa? Think beyond conventional insurance and finance sector roles. Health is rapidly emerging as the next big thing for business-savvy innovators. We’re adapting and growing to meet the new realities in healthcare. To achieve this, our agile culture brings together broad expertise to offer more far-reaching services to benefit people’s health and mental wellbeing. This adds variety to your role, presents fresh daily challenges and widens the range of projects and businesses you’ll work across. Collaboration is deeply embedded into our way of working. There’s no blame game here. We lean into the future, celebrate wins and fail forwards together. This means you’ll achieve more working with open-minded, supportive colleagues who create a positive and inspiring environment. What’s your role? Playing a crucial position in upholding the integrity of hospital claims by conducting thorough onsite and desktop coding reviews. Partnering with our Clinical Audits team, you’ll ensure that claims submitted by providers are processed accurately and paid correctly, in line with ICD, ACHI, Clinical Coding Standards, and hospital contracts. Your expertise will help us deliver high-quality, compliant healthcare solutions that make a real difference. This opportunity is available part-time (0.8 FTE) and open to locations in Brisbane, Sydney, or Melbourne. What will you bring? If some of the skills and experiences outlined below resonate with you, we’d love to hear from you! Tertiary qualifications in health information management or clinical coding. Extensive experience gained in healthcare auditing, preferably within a hospital or health insurance setting, conducting compliance investigations, hospital or claims audits (essential). Advanced clinical coding experience, and a practical understanding of their impacts on Diagnosis Related Groups (essential). Familiar with national, state and territory coding guidelines in Australia. Recognition of clinical coding impacts upon Diagnosis Related Groups (DRGs). Experience of auditing and claims in a health insurance environment. Knowledge of private hospital contract management practices and concepts. Proven experience in data report writing and interpretation. Computer literate, with moderate to advanced proficiency with Microsoft Excel, Word, PowerPoint and PowerBI. Understanding of Hospital Purchaser Provider Agreement contracts and relationship to claims. What’s in it for you? As well as a competitive salary, a range of Bupa benefits and flexible working/work from home arrangements, you’ll be encouraged to innovate. You will be collaborating with various teams to deliver exceptional experiences. You will have the opportunity to further learn and develop with excellent internal development courses available and a supportive career development environment. We trust, respect, and consider everyone, knowing your difference will make the difference. To learn more about working at Bupa please visit our website: . At Bupa, we are striving to create and sustain a safe and inclusive workplace. We welcome applicants from all cultural backgrounds, genders, and abilities. If you require any adjustments to participate in our recruitment process, please let us know at the time of your application. #J-18808-Ljbffr