Clinical Documentation Specialist

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Health Records and Information
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Nepean Blue Mountains Local Health District
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REQ476999 Requisition #
Employment Type: Temporary Full Time (Until 06/05/2025)
Position Classification: Health Manager Level 2
Location: Station St Office, Penrith
Remuneration: $2,034.21 - $2,400.24 per week
Hours Per Week: 38
Requisition ID: REQ476999
Applications Close: 07/05/2024

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.
 

What we can offer you (for eligible 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 

What you will be doing:
An exciting opportunity is available to join the Finance Department as a Clinical Documentation Specialist on a temporary full time basis.  The purpose of the position is to facilitate improvements to clinical documentation and to promote 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. Identification and correction of documentation issues impacting accurate DRG assignment will ensure documentation reflects the level of service provided to patients is complete and accurate. This will be achieved by interaction and liaison with clinical, nursing, and allied health staff at all levels within the NBMLHD to improve clinical documentation.

An eligibility list may be created for future vacancies.  

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. 
 

NBMLHD: is committed to achieving a diverse workforce. We strongly encourage and welcome applications from all ages and genders, Aboriginal and Torres Strait Islander people, people from culturally and linguistically diverse backgrounds, refugees, people of diverse genders and sexuality, and people with disability. 

All NSW Health workers are required to have completed a primary course of a COVID-19 vaccine which has been approved or recognised by the Therapeutics Goods Administration (TGA). Additionally, Category A workers are required to receive a booster dose three months after completing the primary course of COVID-19 vaccinations. New applicants must have completed the vaccination course prior to commencement with NSW Health, or provide an approved medical contraindication certificate (IM011 immunisation medical exemption form) certifying the worker cannot have any approved COVID-19 vaccines available in NSW. 

Acceptable proof of vaccination is the Australian Immunisation Register (AIR) Immunisation History Statement or AIR COVID-19 Digital Certificate. Booster doses are highly recommended for all health care workers who have completed the primary course of COVID-19 vaccinations. 

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. 

Selection Criteria to be Addressed:

  1. 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
  2. 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
  3. 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
  4. Extensive knowledge in clinical documentation standards and understanding of clinical coding documentation requirements
  5. 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
  6. Demonstrated Experience with clinical information systems such as eMR and 3M Codefinder with understanding of their relevance to clinical coding and Activity Based Funding
  7. 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
  8. Willingness to upskill in clinical documentation improvement and undertake CDS training as required.

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

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