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Clinical documentation improvement advisor

Melbourne
Sharp And Carter
Documentation
Posted: 15 December
Offer description

Clinical Documentation Improvement Advisor (Clinical Coder)
We have a part time opportunity available for an experienced coder looking to work within a supportive and experienced team in developing and delivering education aligned with EMR enhancements and best-practice documentation. This role will be permanent part time of 3 days a week with the option to add casual days if desired.
Key responsibilities
Review medical records (concurrently and retrospectively) to identify documentation gaps, ensuring accurate capture of clinical complexity.
Deliver targeted education to medical, nursing, and allied health staff through ward rounds, workshops, and presentations.
Educate clinicians on the impact of accurate documentation on DRG assignment.
Analyse documentation and coding data to identify trends and improvement opportunities.
Contribute to CDI performance reporting, quality assurance, and KPI monitoring.
Assist in implementing and optimising digital tools (e.g. 3M 360 Encompass) that support clinical documentation.
Support the development of a hospital-wide CDI program through clinician engagement and collaboration.
Build and maintain strong stakeholder relationships to ensure effective program delivery.
Stay informed on emerging documentation technologies and contribute to continuous improvement initiatives.
Essential skills / Experience
Bachelor of Health Information Management or equivalent and eligibility for full membership to the Health Information Management Association of Australia
Minimum 3 years' experience working within a Coding department as a qualified clinical coder and/or Coding Auditor/ Educator
Demonstrated ability in data collection and analysis
Desirable skills / Experience
Knowledge/experience with using an electronic medical record (EMR) and Cerner applications
Knowledge/experience with using a patient administration system (iPM)
Coding experience at a tertiary level
Previous experience in a similar role
Demonstrated experience in developing, designing and delivering education and training programs related to clinical coding
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