Clinical Coder (Onsite, Dayshift)

About Shore360:

Shore360 is a 100% Australian-owned BP firm based in the Philippines, providing customized staffing and administrative support for international companies, handling recruitment, HR, IT, and office facilities so clients can focus on core business, offering transparent pricing, dedicated teams, and flexible setups.****

Role Purpose:

The Clinical Coder will be responsible for the accurate and timely classification of admitted patient episodes, ensuring compliance with Australian Coding Standards, ICD-10-AM, ACHI, and applicable Department of Health and health fund requirements.

IMPORTANT: This role requires a minimum of 3 years of clinical coding experience, with Australian private hospital experience strongly preferred.

Key Responsibilities

• Review discharged patient records and assign ICD-10-AM diagnosis and ACHI procedure codes
• Apply the Australian Coding Standards and hospital Coding Policy
• Determine principal and additional diagnoses
• Assign appropriate care types for AR-DRG, AN-SNAP, and Australian Mental Health Care Classification
• Code mental health, addiction, withdrawal management, detoxification, and related physical conditions
• Review clinical documentation and raise queries with clinicians when clarification is required
• Prepare, validate, and reconcile HCP data
• Investigate coding errors, rejections, and discrepancies
• Ensure coding is completed within required timeframes
• Participate in coding audits and quality improvement initiatives
• Maintain strict confidentiality and compliance with Australian privacy and information security requirements

Requirements
ESSENTIAL:

• Minimum 3 years of clinical coding experience
• Experience in an Australian private hospital
• Recognised clinical coding qualification – HIMAA, tertiary Health Information Management degree, or equivalent
• Strong proficiency in ICD-10-AM, ACHI, and Australian Coding Standards
• Experience coding admitted patient episodes
• Strong attention to detail and analytical skills
• Excellent written and verbal English
• Ability to work independently and meet deadlines
• Secure and reliable remote working environment

HIGHLY PREFERRED:

• Knowledge of AR-DRG and private health insurance funding models
• Experience with HCP reporting
• Experience coding mental health, addiction, or subacute episodes
• Knowledge of Australian Mental Health Care Classification or AN-SNAP
• Experience with CareRight and/or DC2Vue

Shore Xtra Perks

• Day 1 HMO Coverage
• Attendance Bonus – Get a chance to win up to ₱5,000 every pay run for consistent, perfect attendance via raffle draw.
• Fixed Weekends Off – Enjoy a guaranteed work-life balance with Saturdays and Sundays off.
• Unlimited Barista Coffee all shift long
• Free Parking & Shuttle
• Premium Game Lounge – Relax and recharge in our dedicated on-site recreational zone
• Join our Social Passion Clubs to connect with like-minded peers and bring your whole self to work every day: Photography Club, Dance Club, Fitness Club, Book Club, Music Club
• Engaging Monthly Events – Experience a vibrant culture with regular team activities and celebrations with amazing prizes and rewards
• Referral Incentives – Get rewarded for bringing top talent to the team via our referral program.
• Statutory Benefits: Maternity, Paternity, and Solo Parent Leaves, Magna Carta for Women, OT, and Premium Pays

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