Clinical Documentation Specialist
Position Classification: Health Manager Level 2
Location: Penrith
Remuneration: $55.40 - $65.37 per hour
Hours Per Week: 38
Requisition ID: REQ526003
Applications Close: 19/01/2025
With CORE Values of Collaboration, Openness, Respect and Empowerment,
working with us will ensure your professional life is provided every opportunity to succeed
and develop in your chosen career role.
About Us
Nepean Blue Mountains Local Health District (NBMLHD) is a wonderful place to expand your career and grow your skills and knowledge. As a recognised leader in the healthcare industry, we provide a range of public health services to the Nepean and Blue Mountains and Lithgow Region.
An exciting opportunity is available to join our district's Information Management team the role of Clinical Documentation Specialist. The position is responsible for facilitating improvements to clinical documentation and promoting the importance of quality documentation to support patient safety & quality, accurate coding, and appropriate reimbursement allocation in an Activity Based Funding environment to reflect level of service provided to patients.
The Clinical Documentation Specialist will perform ongoing documentation review of inpatient records to clarify diagnoses and procedures where inadequate or conflicting documentation exists in a record. This includes the identification and correction of documentation issues impacting accurate DRG assignment to ensure documentation is complete and accurate. Key to your success is collaboration and liaison with clinical, nursing, and allied health staff at all levels within the NBMLHD to improve clinical documentation.
We invite you to take a next step in your career. Apply Today!
Benefits available to eligible NBMLHD employees
- Accrued Day Off (ADO) for full time employees
- Opportunity for extra tax savings through Salary Packaging
- Novated Leasing
- Great education opportunities through Education Training Service which offers over 110 courses each year
- Access to our Employee Assistance Program (EAP) for staff and family members
- Fitness Passport
NBMLHD is committed to achieving a diverse workforce and is an Equal Opportunity Employer and actively encourages diversity and inclusion within our workforce. We encourage and welcome applications from people of diverse backgrounds including Aboriginal and Torres Strait Islanders; people living with disability; people from a Cultural and Linguistically Diverse (CALD) background; people who identify as LGBTQI+, people with a lived experience of mental health concerns and people of mature age.
For assistance with applying through the NSW Health Career Portal please click here.
What you will bring to the role:
- Clinical experience in an acute care environment and/or formal qualifications of Health Information Manager/Clinical Coder with demonstrated knowledge and extensive experience across a broad range of specialties
- Demonstrated ability to implement change initiatives in a large and complex health service environment with ability to develop and deliver education to clinical staff on continuous documentation quality improvement
- Highly developed interpersonal skills with experience engaging and influencing key stakeholders and multidisciplinary groups to influence others to move toward a common vision or goal
- Extensive knowledge in clinical documentation standards and understanding of clinical coding documentation requirements
- Highly professional oral and written communication skills, particularly in development and delivery of reports, training materials, education sessions and presentations to promote the importance of quality documentation for accurate coding and appropriate reimbursement allocation
- Demonstrated Experience with clinical information systems such as eMR and 3M Codefinder with understanding of their relevance to clinical coding and Activity Based Funding
- Strong analytical, organisational and time management skills to enable the completion of high-volume workload and the ability to work autonomously and within a team. Must also be able to work outside normal working hours when required to meet with clinicians
- Willingness to upskill in clinical documentation improvement and undertake CDS training as required.
Employment of a temporary visa holder may only occur if no suitable permanent resident or citizen of Australia has been identified and must not exceed the duration or conditions associated with the current visa.
Need more information?
1) Click here for the Position Description
2) Find out more about applying for this position
For role related queries or questions contact Neelam Narayan on Neelam.Narayan@health.nsw.gov.au
