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Clinical Documentation Specialist

2 months ago


Sydney, New South Wales, Australia Healthscope Hospitals Full time
About the Role

Shape the Future of Healthcare: As a Clinical Documentation Specialist at Healthscope Hospitals, you will play a pivotal role in shaping the future of healthcare delivery. Your meticulous attention to detail and expertise in clinical documentation will directly impact patient care outcomes, driving positive change and setting new standards of excellence.

Unleash Your Potential: We believe in nurturing talent and fostering growth. As a member of our Clinical Documentation Specialist team, you'll have access to unparalleled opportunities for professional development and advancement. Whether you're a seasoned professional or just starting your career journey, we'll support you every step of the way as you unlock your full potential.

Join a Culture of Collaboration: Join a collaborative and dynamic team of healthcare professionals who are passionate about making a difference. We value diversity, teamwork, and innovation. Together, we'll leverage our collective expertise to drive innovation, improve processes, and deliver exceptional patient care.

Key Responsibilities
  1. Reviewing medical records to ensure accuracy, completeness, and compliance with regulatory standards.
  2. Collaborating with healthcare providers to clarify documentation and resolve discrepancies.
  3. Educating staff on best practices for clinical documentation and coding.
  4. Analysing trends and providing insights to improve documentation processes and outcomes.
  5. Participating in quality improvement initiatives to enhance patient care delivery.
Qualifications/Skills
  1. Bachelor's degree in Nursing and Current Registration;
  2. Certification as a Clinical Documentation Specialist (CCDS or CDIP) (preferred);
  3. Strong understanding of medical terminology, coding systems, and regulatory requirements;
  4. Excellent communication and interpersonal skills;
  5. Attention to detail and critical thinking abilities.