Clinical Documentation Specialist

6 months ago

Sydney, Australia Northern Beaches Hospital Full time

**About Northern Beaches Hospital**
Operated by Healthscope, Northern Beaches Hospital (NBH) is located in Frenchs Forest, only 13kms north of Sydney CBD. The hospital is a contemporary 488 bed facility comprising of 60% public and 40% private beds. Providing a wide range of health services to the local community, including Surgery, a 50 bed Emergency Department, Intensive Care, Birthing, Paediatrics, Cardiac, Mental Health, Dialysis, Cancer Centre and Outpatients.
NBH has 13 operating theatres, one hybrid/cardiac catheter theatre, two Catheter Laboratories and four endoscopy procedure rooms, all supported by a critical care unit which includes two intensive care wards.

**About the Role**

As a Clinical Documentation Specialist your responsibilities will include leading the implementation of best-practice Clinical Documentation Improvement practices at Northern Beaches Hospital as well as continuously improving the overall quality, completeness, timeliness and accuracy of clinical documentation in medical records to support:

- The delivery of high quality patient care
- The clinical coding process
- Accreditation and adherence to quality standards
- Receipt of appropriate reimbursement revenues
- Extensive audits of active/open medical records and monitor the quality, completeness and accuracy of clinical documentation
- Education to Medical, Nursing and Allied Health staff on documentation guidelines to support clinical coding, quality, accreditation, billing and patient care
- Clinical documentation performance improvement initiatives
- The quality and timeliness of all clinical documentation including discharge summaries.

**Essential Criteria**:

- Bachelor of Nursing OR Bachelor of Health Information Management OR Clinical Documentation Specialist Certification
- Extensive knowledge in clinical documentation standards
- An in-depth knowledge of medical record documents and clinical documentation standards
- Strong broad-based clinical knowledge across multiple specialties
- Demonstrated understanding of clinical coding documentation requirements
- Sound knowledge of Private Health funding models
- Proven experience in accreditation, standards and quality frameworks
- Competency in MS Office (Outlook, Excel and Word).

**Desirable Criteria**:
Certificate IV Training and Assessment
Postgraduate management studies
Experience with Private Sector Funding & Reporting Models.

**Employee Benefits**:
Our OneHealthscope rewards program gives you access to a range of wellness benefits, discounted Healthscope services for you and your family, salary packaging and more as well as discounted onsite parking at Northern Beaches Hospital and access to Fitness Passport
- Wellness benefits including a wide offering of holistic support through our Employee Assistance Program and free services including medical examination of employees and discounted Healthscope services for permanent Healthscope employees and members of their immediate family.
- OneHealthscope rewards program with national deals and discounts for travel, health insurance and banking offers.
- Variety of leave options
- Salary packaging that includes additional superannuation, Novated motor vehicle lease and Airline/Club membership

**For further enquiries**:Astiness Bazos, Chief Health Information Manager, 02 9105 6201

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