Clinical Documentation Specialist

5 days ago


Brisbane, Queensland, Australia Sunnybank Private Hospital Full time
About the Role

Sunnybank Private Hospital is seeking a highly skilled Clinical Documentation Specialist to join our team. As a national healthcare group, we offer exceptional opportunities for career development and growth.

Key Responsibilities
  • Review and verify medical records to ensure accuracy, completeness, and compliance with regulatory standards.
  • Collaborate with healthcare providers to clarify documentation and resolve discrepancies.
  • Develop and implement best practices for clinical documentation and coding.
  • Analyze trends and provide insights to improve documentation processes and outcomes.
  • Participate in quality improvement initiatives to enhance patient care delivery.
Requirements
  • Bachelor's degree in Nursing and current registration.
  • Certification as a Clinical Documentation Specialist (CCDS or CDIP) is preferred.
  • Strong understanding of medical terminology, coding systems, and regulatory requirements.
  • Excellent communication and interpersonal skills.
  • Attention to detail and critical thinking abilities.


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