Clinical Documentation Specialist

**Employment Type**: Temporary Full Time (until 17/11/2025)
**Position Classification**: Health Manager Level 2
**Location**:Penrith
**Remuneration**: $55.40 - $65.37 per hour
**Hours Per Week**: 38
**Requisition ID**: REQ526003
**Applications Close**: 14/02/2025
- With _**_CORE_**_ Values of _**_C_**_ollaboration, _**_O_**_penness, _**_R_**_espect and _**_E_**_mpowerment,_
- working with us will ensure your professional life is provided every opportunity to succeed_
- and develop in your chosen career role._

**About Us**

Nepean Blue Mountains Local Health District (NBMLHD) is a wonderful place to expand your career and grow your skills and knowledge. As a recognised leader in the healthcare industry, we provide a range of public health services to the Nepean and Blue Mountains and Lithgow Region.

An exciting opportunity is available to join our district's Information Management team the role of Clinical Documentation Specialist. The position is responsible for facilitating improvements to clinical documentation and promoting the importance of quality documentation to support patient safety & quality, accurate coding, and appropriate reimbursement allocation in an Activity Based Funding environment to reflect level of service provided to patients.

The Clinical Documentation Specialist will perform ongoing documentation review of inpatient records to clarify diagnoses and procedures where inadequate or conflicting documentation exists in a record. This includes the identification and correction of documentation issues impacting accurate DRG assignment to ensure documentation is complete and accurate. Key to your success is collaboration and liaison with clinical, nursing, and allied health staff at all levels within the NBMLHD to improve clinical documentation.

**Benefits available to eligible NBMLHD employees**
- Accrued Day Off (ADO) for full time employees
- Opportunity for extra tax savings through Salary Packaging
- Novated Leasing
- Great education opportunities through Education Training Service which offers over 110 courses each year
- Access to our Employee Assistance Program (EAP) for staff and family members
- Fitness Passport

**What you will bring to the role**:

- Clinical experience in an acute care environment and/or formal qualifications of Health Information Manager/Clinical Coder with demonstrated knowledge and extensive experience across a broad range of specialties
- Demonstrated ability to implement change initiatives in a large and complex health service environment with ability to develop and deliver education to clinical staff on continuous documentation quality improvement
- Highly developed interpersonal skills with experience engaging and influencing key stakeholders and multidisciplinary groups to influence others to move toward a common vision or goal
- Extensive knowledge in clinical documentation standards and understanding of clinical coding documentation requirements
- Highly professional oral and written communication skills, particularly in development and delivery of reports, training materials, education sessions and presentations to promote the importance of quality documentation for accurate coding and appropriate reimbursement allocation
- Demonstrated Experience with clinical information systems such as eMR and 3M Codefinder with understanding of their relevance to clinical coding and Activity Based Funding
- Strong analytical, organisational and time management skills to enable the completion of high-volume workload and the ability to work autonomously and within a team. Must also be able to work outside normal working hours when required to meet with clinicians
- Willingness to upskill in clinical documentation improvement and undertake CDS training as required.

Employment of a temporary visa holder may only occur if no suitable permanent resident or citizen of Australia has been identified and must not exceed the duration or conditions associated with the current visa.

**Need more information?