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Clinical Coding Specialist

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Heidi

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Location:
Australia , Melbourne

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

We're looking for a Clinical Coding Specialist with deep expertise in Australian medical coding to guide the development of Heidi's AI scribe platform into compliant, billable, structured medical documentation. You'll be the clinical coding expert who ensures our AI systems understand and apply Australian medical coding principles correctly, working directly with our engineering team to embed your expertise into automated systems that support clinicians seamlessly. You'll play a crucial role in defining coding accuracy standards, validation processes, and compliance frameworks that power millions of patient encounters across Australia.

Job Responsibility:

  • 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 across private hospitals, and public health systems, and GP practices
  • 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 across our Australian customer base
  • Stay current with coding updates including annual ICD-10-AM/ACHI releases, MBS schedule changes, and ACCD standards updates
  • Support customer implementations by providing coding expertise during enterprise client onboarding and troubleshooting

Requirements:

  • 3-5+ years of professional medical coding experience in Australian hospital, clinic, or health system environments
  • HIMAA certification in Clinical Coding or equivalent qualification (university/TAFE clinical coding certificate)
  • Expert-level knowledge of ICD-10-AM/ACHI and Australian Coding Standards (ACS) across multiple specialties
  • Strong understanding of DRG (Diagnosis Related Groups) and AR-DRG classification system
  • MBS knowledge and understanding of Medicare Australia billing requirements
  • Multi-specialty coding experience including public/private hospital, GP, emergency department, and specialty clinic coding
  • Experience with coding audits and quality assurance processes, including accuracy measurement and improvement initiatives
  • Familiarity with EHR systems such as Epic, Cerner, Best Practice, Medical Director, Genie, or hospital PAS systems
  • Analytical skills with ability to identify coding patterns, trends, and systematic issues
  • Adaptability to work in a fast-paced technology environment and translate traditional coding processes into innovative AI-powered solutions
What we offer:
  • Flexible hybrid working environment, with 3 days in the office
  • A generous personal development budget of $500 per annum
  • Learn from some of the best engineers and creatives, joining a diverse team
  • Become an owner, with shares (equity) in the company, if Heidi wins, we all win
  • The rare chance to create a global impact as you immerse yourself in one of Australia’s leading healthtech startups
  • If you have an impact quickly, the opportunity to fast track your startup career

Additional Information:

Job Posted:
February 18, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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