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Clinical documentation improvement specialist

Newcastle
Hunter Executive
Documentation
Posted: 23 April
Offer description

Employment Type

Temporary Part Time until March 2027

Position Classification

Health Manager Level 2

Remuneration

$57.62 – $67.98 per hour + super

Hours Per Week

20

Location

The Lodge, Rankin Park Campus

Requisition ID

REQ640968

Applications Close

Monday the 27th of April

About Us

The Clinical Governance department consists of various teams of dedicated and dynamic people who work collaboratively with each other, clinicians, teams, and management across the district. Our primary focus is on quality, patient safety, patient experience, clinical excellence, and continuous improvement. The HNE Clinical Documentation Improvement Specialist will work as part of the Quality Systems Team Portfolio, scoping CDI workflows into the Single Digital Patient Record (SDPR) and Computer Assisted Coding.

We support professional development with training opportunities, promote work‐life balance and staff well‐being, and offer flexible working arrangements.

About The Role

As the Clinical Documentation Improvement Specialist you will engage with clinical staff and coders, offering expert guidance, reviewing documentation practices, and providing actionable feedback. Your role involves bridging the gap between documentation and clinical coding, ensuring compliance and driving improvements across the system. The initial focus will be on Hospital Acquired Complications at John Hunter Hospital while also implementing CDI practices into SDPR workflows.

Responsibilities

* Engage with clinical staff and coders to provide expert guidance on documentation and coding practices.
* Review documentation and coding, offering actionable feedback to improve accuracy.
* Bridge the gap between documentation and clinical coding to ensure compliance.
* Implement CDI practices into SDPR workflows and monitor progress.
* Focus on Hospital Acquired Complications and other priority areas as directed.

Qualifications and Experience

* Highly motivated, systems thinker with strong communication skills.
* Good at nurturing positive relationships with diverse services and teams.
* Clinical Coding experience in an acute care environment and/or formal qualifications in Clinical Coding.
* Knowledge of documentation requirements and their relevance to clinical coding.
* Proficiency interpreting clinical data and coding for accurate patient care representation.
* Strong attention to detail to detect inconsistencies.
* Exceptional verbal and written communication skills.
* Strong critical thinking and problem‐solving abilities.
* Team player who collaborates across multidisciplinary environments.
* Ability to influence clinicians in improving documentation practices.
* Excellent organisational and time‐management skills to handle multiple tasks and priorities.
* Innovative, results‐oriented approach to process improvement.

How You Will Be Supported

* Corporate orientation in line with HNELHD expectations.
* Support and guidance from the Patient Safety and Quality Coordinator and the Manager, Quality Systems.
* Professional support through clinical coding teams.
* Educational opportunities as they arise.
* Advice and support from the wider Clinical Governance Team as required.
* Flexible working arrangements.

Eligibility

To be eligible for this position you must be an Australian Citizen, or a permanent resident of Australia, or a New Zealand citizen with a current New Zealand Passport. Employment of a temporary visa holder may only occur if no suitable local candidate is identified for the position; in this instance, you may only be offered employment in line with the conditions and expiry date of your visa.

Policy Compliance

This is a Category A position. Recommended applicants will be reviewed for compliance with NSW Health policy directive PD2024_015: Occupational Assessment, Screening and Vaccination against Specified Infectious Diseases for Category A positions prior to offer. All new employees must agree to comply with the requirements outlined in the policy.

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