Clinical Documentation Improvement Lead

1 month ago

Melbourne, Australia Mercy Health Full time

Location: Melbourne | Western Metropolitan

Job type: Full time

Organisation: Mercy Health

**Salary**: Salary not specified

Occupation: Administration/Secretarial, Medical

Reference: 19953

An exciting new position to lead Mercy’s Clinical Documentation Improvement Program. As CDI Lead you will oversee and drive documentation improvement initiatives to ensure best practice, patient safety and appropriate funding. The position will work closely with clinical staff and provide advice, education and training to achieve optimal documentation for accurate clinical coding.

**ABOUT THE ROLE**:

- Permanent full time, based at Werribee Mercy Hospital_ _
- Classification, Health Information Manager Grade 3 or equivalent
- New position to Lead CDI Program at Werribee Mercy Hospital and Mercy Hospital for Women
- Two Clinical Documentation Improvement Specialist (CDIS) direct reports and supported by the Coding Quality Manager
- Utilise and adapt Australian first 3M CDI software, CDI Collaborate, to capture and report CDI workflows and impacts
- Hands-on role, enabling you to use your expert coding, documentation and Activity Based Funding knowledge
- Provide coding and funding related education and support to clinical managers and leaders
- Co-ordinate and participate in the daily review of inpatient medical records to proactively identify and manage documentation deficiencies
- Co-ordinate and deliver education to clinicians and develop resource material to address documentation issues
- Collaborate with Health Information Services managers and senior coding team on documentation matters impacting the quality and timeliness of coding
- Recommend form and system improvements to support accurate documentation for coding
- Recommend coding audits based on documentation issues

**ABOUT YOU**:

- Minimum 3 years coding experience across a broad range of specialities or CDIS experience
- Demonstrated leadership experience and influencing skills
- Excellent communication skills to effectively engage with clinicians
- Strong organisational skills and ability to engage with multiple stakeholders
- High attention to detail and a passion for documentation improvement to support coding quality

**ABOUT US**:
Werribee Mercy Hospital is a General Public Hospital located in the rapidly growing Western suburbs of Melbourne. Our services include surgical, medical, maternity, newborn, renal dialysis, emergency, mental health, rehabilitation, aged and palliative care. The hospital has recently undergone significant expansion with the opening or our new intensive care unit, additional operating theatres and the opening of two new wards, taking the total number of beds to 298. Join us now and be part of our team as we expand to serve our community.

Mercy Health is a Catholic organisation grounded in a 2,000-year tradition of caring for others. Founded by the Sisters of Mercy, Mercy Health is made up of more than 9,500 people who provide acute and subacute hospital care, aged care, mental health programs, maternity and specialist women's health services, early parenting services, home care services and health worker training and development.

Mercy Health is proud to be recognised as an Employer of Choice for Gender Equality by the WGEA.

**WHAT WE OFFER**:
Mercy Health recognises that people are searching for meaning in their work life and finding a workplace that connects with their values is a key motivation when choosing an employer. As a not-for-profit healthcare provider, Mercy Health has a strong mission and clear values that guide us in everything we do. We pride ourselves on:

- caring for our people and those important to them with generous employee assistance available for employees and their families
- protecting children and vulnerable people in all our services, by listening to them and having zero tolerance of any form of abuse and neglect
- taking a stand against climate change, which is one of the biggest threats to the health of the world and all humanity, and committing to action that will help make our world fairer and more sustainable
- offering benefits such as generous salary packaging, purchased leave, career progression and development opportunities, access to health and wellbeing programs and a range of discounts across a diverse portfolio of financial, healthcare, travel and other services.

**WHAT YOU WILL NEED**:

- Proof of vaccination status consistent with public health orders and with Mercy Health’s policy (includes but is not limited to COVID-19 and seasonal influenza vaccination compliance requirement).

If you have any questions or require any adjustments to ensure a fair and equitable interview and selection process please contact us on the details below.

**Contact Details**
- Amber Carlesso, Manager Coding Quality

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