Clinical Documentation Specialist
Permanent Full or part Time position – Malvern location / across other campuses as required
The Clinical Documentation Specialist is an integral member of the Cabrini Health Clinical Documentation Improvement Program and is responsible for ensuring the integrity and accuracy of clinical information.
Key responsibilities
* Utilise advanced clinical knowledge to support and promote high-quality clinical documentation practices.
* Engage and educate clinicians on best practice documentation standards and improvement strategies.
* Provide practical documentation guidance, tips, and techniques tailored for clinicians working in busy clinical environments.
* Actively promote and embed documentation improvement initiatives across clinical teams.
* Partner with Health Information Services, Health Funding Compliance, and other hospital departments to support accurate and compliant documentation practices.
What we're looking for
* Appropriate tertiary qualifications – Nursing (Critical Care or other Post Graduate course, highly regarded) or Health Information Management with experience in complex care needs, casemix management, episodic funding or documentation improvement or similar – current AHPRA registration where relevant
* Recent private health sector experience, knowledge of current funding payment models and contractual arrangements in a medium to large organisation
* Strong knowledge of anatomy and physiology/pathology of disease processes
* Highly developed understanding of Microsoft Office products – Excel, Word, PowerPoint
* Excellent verbal and written communication skills
* Excellent critical thinking/analytical skills with high level of attention to detail
What we offer
* Salary Packaging options up to $18,850 per annum to increase your take‐home pay
* Access to a range of retail offers, discounted hospital services and savings on eligible private health fund services
* Located close to public transport and Myki Commuter Club discount
* A commitment to health and wellbeing initiatives including discounted access to a wide range of gyms, pools, and fitness facilities through Fitness Passport
* An inclusive workforce, invested in your professional growth and personal development
* Commitment to speaking up loudly for safety in the workplace
Cabrini Health acknowledges the importance of creating a work environment that is welcoming, safe, equitable and inclusive for people of all backgrounds and abilities. Inclusion is core to our mission.
As part of our commitment to Reconciliation and Closing the Gap in employment related outcomes, we encourage applications from Aboriginal and Torres Strait Islander Peoples.
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