Clinical Documentation Improvement Specialist

**Employment Type**: Permanent Full Time
**Position Classification**: Health Manager Level 2

**Location**: Station St Office, Penrith
**Remuneration**: $109,857.00 - $129,624.00 per annum
**Hours Per Week**: 38
**Requisition ID**: REQ587484

**Applications Close**: 24/07/2025
- 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, Blue Mountains, and Lithgow Region.

NBMLHD have on offer an opportunity for a Clinical Documentation Improvement Specialist to join the Information Management Team on a permanent full time basis. This position is located at our Station St Office in Penrith.

In this role you will support patient safety, accurate clinical coding, and the appropriate Activity-Based Funding (ABF) model. In this key role, you'll collaborate with clinical, nursing, and allied health professionals to review and improve the quality of inpatient documentation, clarify diagnoses and procedures, and ensure records accurately reflect the complexity of care provided.

By identifying and resolving documentation issues—particularly those impacting Diagnosis-Related Group (DRG) assignment and Hospital Acquired Complications (HACs)—you’ll play a vital role in ensuring data quality and supporting high standards of clinical care across NBMLHD.

**Benefits available to eligible NBMLHD employees**
- Accrued Day Off (ADO)
- 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

NBMLHD is committed to implementing the child safe standards. For more information, please click here **Child Safe Standards**.

**What you will bring to the role**
- Clinical experience in an acute care environment and/or formal qualifications as a Health Information Manager/Clinical Coder, with demonstrated knowledge and extensive experience across a broad range of specialties in a tertiary hospital.
- Extensive knowledge of clinical documentation standards and a strong understanding of clinical coding documentation requirements.
- Demonstrated ability to implement change initiatives within a large and complex health service environment, with the capability 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 align efforts toward a common vision or goal.
- Highly professional oral and written communication skills, particularly in the development and delivery of reports, training materials, education sessions, and presentations that promote the importance of quality documentation for accurate coding and appropriate reimbursement allocation.
- Demonstrated experience with electronic medical records (eMR) and understanding of 3M Codefinder and its relevance to clinical coding and Activity-Based Funding.
- Strong analytical, organisational, and time-management skills to manage a high-volume workload effectively, with the ability to work autonomously and collaboratively within a team. Willingness to work outside normal hours when required to meet with clinicians.
- Willingness to upskill in clinical documentation improvement and undertake Clinical Documentation Improvement Specialist (CDIS) training as needed.

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?