YOU’RE ONLY HUMAN.

It’s a strange thing to say, because us humans are capable of incredible things. And at Medibank, we know our greatest potential lies in the people who work with us.
We strive to make real, fundamental change, driven by a simple purpose: to create the best health and wellbeing for all of Australia.
The position sits in the Payment Integrity team in the Healthcare Funding & Policy Hub.
A key aspect of this role involves leading and conducting comprehensive DRG audits both onsite across various locations and remotely through desktop reviews, to ensure adherence to Australian Coding Standards and other industry guidelines. The position combines hands-on, in-person audits with the flexibility and efficiency of remote auditing.
Excitingly, you can be based anywhere in Australia to work in this role. Would you like to discuss flexible work arrangements? We’d love to chat to see how we can support this!

• Execute audits, assist in development of the audit program, and assess risk controls and audit report writing.
• Lead Medibank staff in understanding key issues of clinical coding/DRG and other contracting issues and the impact on business outcomes and effectiveness.
• Guide Providers to resolve clinical coding / DRG and other claiming disparities.
• Provide support to team members in meeting the priorities of within Payment Integrity.