Medical Billing and Coding

• Will assist the Submissions team member to meet their responsibilities to accurately submit electronic and paper claims in a timely manner.
• Will check submissions daily, identify any errors and how to solve the situation, and notify the team member.
• Reviewing claims are complete with accurate information prior to submitting.
• Transmit electronic and paper claims using billing software.
• Audit medical records to ensure services billed are supported by documentation.
• Follow up on rejected claims daily.
• Stay on top of providers that need enrollment for submissions to be successful.
• Follow through on rejected claims until complete.
• Update team leader on recurring issues.
• Attend weekly team meetings, completing the to-do’s assigned to authorizations team member.
• Other Duties as Assigned​.

Medical Billing Claims Assistant

• Responsible for assigning accurate and timely clinical codes to patient episodes of care at St Vincent’s Private Hospital Northside
• Involves analysis of patient record documentation and using the appropriate version of the International Statistical Classification of Diseases and Related Health Problems, Australian Modification (ICD10AM)
• Applying Australian Coding Standards and relevant State Coding authority advice
• Participate in ongoing training and education sessions and ongoing audits

Clinical Coder

• Work as the clinical coding subject matter expert to ensure AI-powered systems meet the highest standards of medical coding accuracy and compliance
• Lead medical coding validation for AI-generated documentation, ensuring accurate application of ICD-10-AM, ACHI, and MBS item numbers across diverse clinical scenarios in both public and private settings
• Develop coding guidelines and protocols that translate complex Australian Coding Standards (ACS) into systematic processes our AI can learn and apply consistently
• Conduct quality audits of AI-coded documentation, identifying patterns, gaps, and opportunities for improvement in coding accuracy, DRG assignment, and compliance
• Collaborate with engineering teams to translate medical coding expertise into technical requirements, validation rules, and system improvements
• Work directly with Australian clinicians to understand documentation patterns, clinical decision-making, and coding challenges
• Ensure regulatory compliance with Department of Health coding standards, Medicare Australia requirements, DVA guidelines, and private health insurer specifications
• Analyze coding data and metrics to identify trends, accuracy patterns, and areas for system optimization
• Stay current with coding updates including annual ICD-10-AM/ACHI releases
• Support customer implementations by providing coding expertise during enterprise client onboarding and troubleshooting

Medical Billing and Coding jobs in Australia

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Medical Billing Claims Assistant

Clinical Coder

Clinical Coding Specialist