Clinical Coding Services
Tailored to your needs: AusHealth has a team of senior health information managers (HIMs) and clinical coders. Certified, compliant and having at least three years’ experience, our HIMs and clinical coders are ready to:
- support you offsite or onsite
- support you on a permanent, long-term or short-term basis
- level out seasonal challenges
- manage planned or unplanned staff shortages.
Competent in all case mixes: Certified and knowledgeable, our HIMs and clinical coders have broad case mix experiences and can provide complete and accurate diagnostic and procedure codes for all inpatient episodes of care; these are in accordance with all relevant classification conventions, standards and rules.
Fast and accurate: Depending on the case complexity and client infrastructure, our HIMs and clinical coders will guarantee a minimum coding accuracy and an average hourly coding output of patient episodes to align with client KPIs.
Competitively priced: Our clinical coding costs less than our nearest competitors, all while offering superior accuracy and ultra-low error rates.
Secure and confidential: Our offsite clinical coding services are performed in a secure and confidential location to maintain the privacy and security of information. AusHealth is able to provide a guarantee that we operate a cyber secure environment.
Quality: In order to support the quality delivery of our Clinical Coding Services, AusHealth aligns with the following standards:
- ISO 37500 – Guidance on Outsourcing
- ISO 19011 – Auditing Management Systems
- AS/NZS ISO 31000 – Risk Management
- AS 3806 – Compliance
- ISO 9001 – Quality Management
Looking to the future: AusHealth is currently investing $1.3 million dollars in a revolutionary AI clinical coding and EMR system called CODEXA. Our clients will be the first to enjoy next-level advantages when this technology is introduced in early 2026! For more information: CODEXA Updates
Benefits of using AusHealth’s Clinical Coding Services
- Clinical Coding Services are scalable and flexible.
- They eliminate the time and cost needed to hire, train and maintain a coding team.
- They reduce costs related to salaries, benefits and infrastructure.
- They reduce coding turnaround times and improve cash flow.
- Services cost less than our nearest competitors.
- They offer real value for money: AusHealth endeavours to achieve the best possible outcome for every dollar spent by our clients, by balancing the costs, benefits and risks.
HOW CAN WE HELP?
Schedule an in-person or a virtual meeting to discuss our clinical coding services.
Call Julie Stojanovski: 0437 567 602
Clinical Coding Auditing Service
Your coding strengths and weaknesses revealed: The quality of clinical coding can lead to billing errors, non-compliance with coding regulations, data integrity issues and potential patient care impacts. AusHealth’s Clinical Coding Auditing Service will help you better understand your organisation’s strengths and weaknesses when it comes to clinical coding.
Provide valuable opinions: In partnership with our chief health information manager, and adopting generally accepted auditing principles, our Clinical Coding Auditing Service gathers clinical and coded data to provide valuable, evidence-based opinions of:
- coding and documentation deficiencies
- coding practices/processes
- the potential impact on funding
- targeted education opportunities
- internal auditing practices/processes
- future internal audit program priorities.
Quality: To ensure standards are met, AusHealth:
- adopts a risk-based, collaborative approach when conducting audits
- aligns with ISO 19011 – Auditing Management Systems, AS/NZS ISO 31000 – Risk Management, and generally accepted auditing principles
- audits against all relevant classification conventions, standards and rules.
Benefits of using AusHealth’s Clinical Coding Auditing Service
- Audit methods are most likely to lead to audit projects that result in real improvements.
- Audit multi-disciplinary project teams are customised to the specific audit project.
- Audits are conducted within a structured programme, with effective leadership from our chief health information manager, participation with client staff, and an emphasis on client team working and support.
- We can participate with client staff in selecting topics so as to reduce resistance to change.
- We provide comparisons to ‘what is possible’ through benchmarking with other clients.
HOW CAN WE HELP?
Schedule an in-person or a virtual meeting to discuss our clinical coding services.
Call Julie Stojanovski: 0437 567 602
Revenue Optimisation Services
In the healthcare industry, effective revenue lifecycle management is crucial for cash flow. At the heart of the revenue lifecycle are patient admissions and financial care, clinical coding, billing, insurance management and debt collection, all of which convert clinical services into revenue.
It is a complex financial ecosystem.
Integrated Revenue Lifecycle Service: AusHealth is able to offer a comprehensive Integrated Revenue Lifecycle Service package, that:
- engages our Clinical Documentation Improvement team to achieve billing accuracy and regulatory excellence (Clinical Documentation Improvement Service)
- uses its broad case mix experience to provide complete and accurate diagnostic and procedure codes to accurately represent and undertake billing and create claims for insurance submission through its Billing and Insurance Management Services
- works denials promptly and precisely though our Insurance Claim and Denial Management Services, to ensure more revenues are collected more quickly (a much easier process when integrated with our Clinical Coding Service)
- maximises the return of outstanding debt through its Debt Collection Services while balancing the collections process against the sensitivity required when dealing with patients
- offers unparalleled opportunity for maximising collections when Debt Collection Services are coupled with Clinical Coding Services.
Benefits of using AusHealth’s Integrated Revenue Lifecycle Service
- Increases efficiency and productivity.
- Enhances service quality and patient satisfaction.
- Reduces ‘time to money’.
- Optimises resource allocation and eliminates process inefficiencies.
HOW CAN WE HELP?
Schedule an in-person or a virtual meeting to discuss our clinical coding services.
Call Julie Stojanovski: 0437 567 602
Clinical Documentation Improvement (CDI) Service
Tailored to your needs: AusHealth has CDI expertise. Our health information managers (HIMs) and clinical coders are ready to:
- support you on a permanent, long-term or short-term basis
- level out seasonal challenges
- manage planned or unplanned staff shortages.
Depending on the structure of your team, AusHealth can also deploy a CDI team comprising HIMs, clinical coders, audit experts, quality management and financial services professionals to collaboratively work with your clinical teams.
Effective stakeholder connection: AusHealth’s CDI Service works to benefit client stakeholders such as clinical staff, HIMs, clinical coders, quality management and patient financial services. AusHealth has more than 30 years’ experience in effective healthcare stakeholder engagement, working to a variety of engagement standards and models.
RTO: Our registered training organisation can provide ongoing education to physicians and other clinical care providers, related to documentation, changes in coding, compliance issues, profiling concerns and reimbursement changes.
The Benefits of using AusHealth’s Clinical Documentation Improvement Service
- Improved documentation quality.
- Support quality patient care and improve outcomes.
- Ensure accurate funding through proper case complexity.
- Faster and more accurate coding and appropriate funding.
- Effective stakeholder engagement that encourages trust and provider cooperation for complete and supportive documentation reflecting the patient’s condition
- Focusses education programs.
- In conjunction with our patient financial services solution, the CDI Service helps providers understand payment linkages.
HOW CAN WE HELP?
Schedule an in-person or a virtual meeting to discuss our clinical coding services.
Call Julie Stojanovski: 0437 567 602
Health Information Management Consulting Services
Tailored to your needs: At AusHealth, our team of seasoned health information managers (HIMs) offers tailored, expert guidance to both public and private sectors on key areas, including:
- health information management
- coding practices/processes/productivity
- clinical coding auditing
- clinical documentation improvement
- revenue optimisation
- clinical coding business process outsourcing (BPO).
Clinical Coding Business Process Outsourcing (BPO): AusHealth has over 30 years’ experience elevating organisational outcomes while increasing process maturity through scalable BPO solutions.
It ensures that the workforce remains certified and compliant; it is also committed to advanced technological solutions (such as its AI-powered coding solution, CODEXA) ensuring the efficiency and effectiveness of an AusHealth BPO solution.
The Benefits of using AusHealth’s Health Information Management Consulting Service
- Extensive team: Our team of HIMs, clinical coders, audit experts, quality management and financial services professionals brings extensive experience in providing strategic and operational advice to meet the goals and objectives of the organisation and its stakeholders.
- Broad consulting experience: Our team is experienced in a broad range of consultancies including key function strategic consulting, operations consulting, risk and compliance consulting and cross functional consulting.
HOW CAN WE HELP?
Schedule an in-person or a virtual meeting to discuss our clinical coding services.
Call Julie Stojanovski: 0437 567 602
Training & Education Services
Looking to enhance or upskill your existing personnel assets? AusHealth can deliver targeted education through its registered training organisation (RTO). Subjects covered include:
- coding and documentation
- health information services operation
- freedom of information (FOI) requests
- new and imminent clinical coding rules, conventions and standards
- coding classification system changes
- internal auditing practices/processes.
AusHealth can also build and deliver specialised education on your area of need.
The Benefits of using AusHealth’s Training And Education Services
- Nationally recognised qualification (if delivered through the RTO).
- Flexible learning: training can be delivered on-line or in person.
- Experienced and qualified trainers.
HOW CAN WE HELP?
Schedule an in-person or a virtual meeting to discuss our clinical coding services.
Call Julie Stojanovski: 0437 567 602
Quality & Compliance
Quality and Compliance
AusHealth is accredited to AS/NZ ISO 9001 standards.
AusHealth clinical coders/health information managers provide complete and accurate diagnostic and procedure codes for all inpatient episodes of care in accordance with the relevant classification conventions, standards and rules, including:
- ICD-10-AM/ACHI/ACS Latest Edition
- state clinical coding authorities
- Independent Health and Aged Care Pricing Authority (IHACPA).
AusHealth is a member of the Healthcare Financial Management Association.
Australian-based
Clinical Coding Services are performed in Australia only.
Insurance
AusHealth holds appropriate workers’ compensation insurance, public liability insurance, professional indemnity insurance and products liability insurance.
Risk management
AusHealth’s risk management system operates in line with the AS/NZS ISO: 31000.
Contract management
AusHealth’s contract management methodology aligns with the principles of CMS, an ANSI-approved (contract management) standard.
Industry participation policy
AusHealth complies with state based industry pParticipation policies and any supporting procedural and reporting requirements.
Cultural responsiveness and accessibility
AusHealth has a diversity policy in place that strives to create and foster a supportive and understanding environment in which all individuals realise their maximum potential within AusHealth, regardless of their differences.
Social
AusHealth is a registered charity and all profits earned from its commercial operations are invested into medical research development and commercialisation. Since its inception in 1985, AusHealth has provided more than $50 million in profit to commercialise new medical technologies.
Records management
AusHealth complies with all privacy and security requirements of records as per state government principles, legislation and standards including AS ISO 15489 ‘Information and Documentation – Records Management’.
Customer satisfaction
AusHealth has adopted industry best practice and benchmarked its process against the Australian Standard AS ISO 10002-2006 ‘Customer satisfaction – Guidelines for complaints handling in organisations’.
Modern slavery
AusHealth aligns with all applicable modern slavery laws, statutes and regulations are adhered to including but not limited to the Modern Slavery Act 2018 (Cth).
Clinical coding personnel
All clinical coding personnel possess the necessary skills (three years+ clinical coding experience), experience, qualifications and credentials to deliver the services required by clients.
Data security
AusHealth is committed to protecting the data that is critical to its business operations, patients, debtors, and staff members.
Data Security measures adopted by AusHealth Hospitals, including secure file transfer protocol (SFTP), are designed to provide resiliency against the current and rapidly changing landscape.
They are also designed to provide a sound foundation from which to address external compliance regulations, both legal and contractual, the number and complexity of which continue to grow at a rapid pace. AusHealth data security measures have been created with consideration of industry best practices, external compliance requirements and client policy.
AusHealth’s data security also aligns with State-based information security policies.