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Clinical documentation improvement advisor (clinical coder) (victoria)

Sharp & Carter
Documentation
Posted: 27 November
Offer description

We have a part time chance 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 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.

Skills / Experience

Essential

- 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

- 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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