[Hiring] Clinical Documentation Auditor @Ramsay Health Care

Role Description

Are you an experienced Clinical Documentation Specialist with a keen eye for detail and a passion for improving documentation quality? Ramsay Health Care is seeking an experienced Clinical Documentation Auditor to join our national Revenue Cycle Management team. You’ll use your clinical and CDI expertise to audit medical records, identify documentation opportunities and support accurate coding, funding, compliance and revenue integrity across Ramsay. Working closely with Clinical Documentation Specialists, clinical coders, clinicians and Health Information Services teams, you’ll provide feedback and education to help strengthen documentation practices nationally.

Please note, this role can be based anywhere in Australia and is a part-time position working three days per week.

What You’ll Do

• Conduct pre-bill audits of discharged overnight inpatient medical records.
• Review clinical documentation and coding in accordance with the Australian Coding Standards.
• Validate diagnoses, treatment plans, procedures and clinical evidence.
• Identify documentation gaps and opportunities to better reflect patient complexity and care.
• Analyse audit findings to identify trends, risks and improvement opportunities.
• Provide constructive feedback and post-audit education to CDS and coding teams.
• Identify and escalate documentation, coding and compliance risks.
• Prepare audit reports and recommendations for relevant stakeholders.
• Contribute to continuous improvement across Ramsay’s national CDI program.

Qualifications

• Current AHPRA registration as a Registered Nurse or Allied Health professional.
• Minimum four years’ recent experience as a Clinical Documentation Specialist.
• Recognised CDI or Health Informatics certification.
• Strong experience in clinical documentation auditing and query writing.
• Knowledge of public and private healthcare funding models, Health Fund Contracts and AR-DRG methodology.
• Strong understanding of pathophysiology, disease processes, pharmacology and surgical terminology.
• Strong analytical, problem-solving and critical thinking skills.
• Excellent communication, organisation and time management skills.
• Ability to work autonomously and manage competing priorities.

Benefits

• This is a unique opportunity to use your Clinical Documentation expertise in a national role with broad impact.
• You’ll have the opportunity to influence documentation quality across Ramsay.
• Work with a diverse range of clinical and corporate stakeholders.
• Contribute to improving coding accuracy, compliance and revenue integrity.
• Access professional development and career opportunities across the Ramsay network.
• Enjoy a range of employee benefits, wellbeing initiatives, discounts and recognition programs.
• Be part of an organisation driven by our purpose of People Caring for People.

Company Description

Founded in 1964, Ramsay Health Care is Australia’s largest private hospital operator and a recognised global leader in healthcare delivery. Across the country, we operate 76 hospitals and 12 surgical centres, caring for more than 1.1 million patients each year with the support of over 30,000 dedicated professionals. Guided by our ethos, “People Caring for People,” we are committed to delivering exceptional patient care, building meaningful relationships, and driving continuous improvement and sustainable growth.