Clinical Documentation Specialist

4 weeks ago

Sydney, Australia Prince of Wales Private Hospital Full time

Friendly and supportive team environment
- Be part of a hospital with a focus on positive culture
- Part time or Full time role available

Prince of Wales Private is seeking a Clinical Documentation Specialist to join our team on a part or full time basis. The position would suit those looking for the next step in their nursing career or seeking to expand their skillset in the clinical documentation space. Maintaining currency in the clinical area does provide an advantage to the Clinical Documentation Specialist, and so a 4-day option is also offered.

**About the Role**:
The CDS has the opportunity to focus on improving the clinical documentation for Prince of Wales Private Hospital. If successful, the focus would be to provide a clinically based concurrent review of inpatient medical records to evaluate the utilisation and documentation of acute care services. The primary goals will be the facilitation of appropriate specialist documentation of care delivery to accurately reflect patient complexity, ensure fully informed patient care is provided by the treating team, and ensure the Hospital is appropriately paid for the services we provide.

The CDS is a crucial role in the hospitals operations day to day. As CDS you will be working alongside medical professionals and the nursing teams in the documentation review process and employing your strong relationship development skills and medical information knowledge to improve the governance and accuracy of patient records within the hospital.

You will report to our Health Information Manager and work closely with the Medical Record Department and Coders as well as Bookings and our NUMs, meeting periodically with the General Manager. You will join a bi-weekly casemix meeting where you will discuss all current inpatients, their Diagnosis Related Groups (DRGs) and their surgical outcomes to date.

**About us**

Come and join our expert team of surgeons, specialist doctors, dedicated nurses and allied health professionals at Prince of Wales Private Hospital.

We are renowned for complex surgery, and have been independently recognised for excellence in clinical safety and service. And while we specialise in neurosurgery and cardiology, many Sydneysiders know us for being one of the state’s premier maternity hospitals, caring for more than 2,000 expectant parents every year. Supported by the latest technology and robotics, we offer a full range of surgical and medical services too, giving you the opportunity to work in the areas you love while also allowing you to further specialise in a range of clinical areas.

Even our location is unique. You’ll find us at Randwick, where we share a precinct with three other prestigious hospitals; Sydney Children’s Hospital, the Royal Hospital for Women and the Prince of Wales (public).

Joining our team means you’ll be supported by great team leaders, be part of a strong, innovative team who always strive for better, and have the opportunity to flourish and grow.

**Essential Criteria**:

- Authority to Work in Australia
- Current registration with AHPRA as a registered nurse (desirable).
- Minimum 3 years’ recent clinical experience in an acute setting.
- Knowledge of medical records documentation
- Strong broad based clinical knowledge and understanding of pathology/physiology relating to surgical procedures.
- Ability to deliver results within tight timeframes
- Demonstrate ability to build and maintain doctor relationships
- Excellent relationship management skills
- Strong ability to work autonomously and deliver the desired outcomes
- Knowledge of Clinical Coding, Australian Coding Standards, DRG assignment (desirable)
- A basic understanding of Health Fund Contracts

**Why Healthscope?**

We care about your career at Healthscope.

No matter where you go within our community of care, you’ll be supported by great team leaders, be part of strong, innovative teams who always strive for better and have the opportunity to flourish and grow.

Our people are at the heart of our organisation - no matter the role, every day our people make a difference to the lives of our patients and their families. We work together to create positive, memorable experiences, alongside our quality care, in every moment of every day.

We are the largest national private hospital operator and healthcare provider in Australia. But why does that matter? Our team is made up of over 19,000 highly experienced people working across a range of roles and specialisations. Supported by some of the best doctors in Australia, we come together to strive for better, sharing learnings, supporting each other, celebrating successes and facing challenges together.

Joining us opens the door to endless opportunities. We encourage the pursuit of continuous professional development, specialisation and education, and support our people to grow and flourish.

**Applications close**: 25th August 2023

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