Clinical Documentation Specialist

5 days ago


Sydney, New South Wales, Australia Northern Beaches Hospital Full time
About the Role

We are seeking a highly skilled Clinical Documentation Specialist to join our team at Northern Beaches Hospital. As a Clinical Documentation Specialist, you will play a pivotal role in shaping the future of healthcare delivery by ensuring the accuracy, completeness, and integrity of medical records.

Key Responsibilities
  • Review and analyze medical records to ensure compliance with regulatory standards and best practices.
  • Collaborate with healthcare providers to clarify documentation and resolve discrepancies.
  • Develop and implement education programs to enhance staff knowledge on 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.
Why This Role Matters

This role offers a unique opportunity to make a lasting impact on patient care outcomes. As a Clinical Documentation Specialist, you will have the chance to drive positive change and shape the future of healthcare delivery.

What We Offer

We offer a dynamic and supportive work environment that fosters growth and development. Our team is passionate about delivering high-quality patient care, and we are committed to providing the necessary resources and support to help you succeed in your role.



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