Clinical Documentation Specialist

Clinical Documentation Specialist

Permanent Full Time (Part Time - negotiable)

Malvern location

Salary range: $125,000 - $137,000 + super

Cabrini offers:
- Tax savings - as a private, non-profit hospital we offer up to $18,550 salary packaging tax free per annum- Opportunities for professional development- Close to public transport with Myki discount on offer- Access to discounted hospital services and other benefits, such as health insurance- Excellent workplace culture in a mission-based, values driven healthcare organisation

How you will make an impact

This role requires you to be an effective communicator, an advocate for written documentation with a focus on patient safety, education and funding compliance. The role also requires the development of strong relationships across the breadth of Cabrini’s services.

If you are an experienced Registered Nurse or Health Information Manager, you love working with teams and you are passionate about clinical documentation information, accuracy, detail and ensuring performance improvement, then this role is for you

Key responsibilities include:
- Actively supporting the Clinical Documentation Improvement Program by utilising your extensive clinical knowledge, to ensure completeness of documentation in medical records- Staff engagement and education to promote and embed documentation improvement- Medical record review identifying opportunities to ensure that conditions and complications are documented appropriately

What you will bring to the role

You will be a caring communicator and champion for written communication between patients to the care team and between the care team to all who interact with a patient’s Medical Record. You will also need to have the following:
Background (essential)- Post graduate experience as an AHPRA Registered Nurse within a medium to large health service (advantageous) OR Health Information Manager/Clinical Coder with solid experience in the private sector OR working with/within an established Clinical Documentation Improvement Program OR experience with complex care needs, casemix management and DRG’s- Recent private health sector experience across a diverse range of specialties- Strong knowledge of anatomy, physiology & pathology of disease processes- Highly developed understanding of Microsoft Office products - Excel, Word & Powerpoint- Excellent verbal & written communication skills- Self motivated, focused, able to work independently and part of a team- Strong critical thinking/analytical skills with a high level of attention to detail- Commitment to Cabrini Mission, Values & Vision

Desirable but not essential:
- Certification in Clinical Documentation Improvement, DRG assurance training/auditing or similar- Previous experience in Clinical Documentation Improvement

Enquiries should be directed to: Maryanne Turner, Lead Specialist Clinical Documentation Improvement - 9508 1729

Does this sound like your new role? Bring your skills and enthusiasm to Cabrini Health and help optimise the patient experience and health outcomes for our community.

Cabrini Health acknowledges the importance of creating a work environment that is welcoming, safe, equitable and inclusive for people of all backgrounds and abilities. Inclusion is core to our mission.

Working for Cabrini

Cabrini Health is a Catholic, private, for-purpose health service located in Melbourne’s southeast. Inspired by the mission and ethic of care of the Cabrini Sisters, providing quality, compassionate care to our community for more than 75 years.

There is something special about Cabrini Health. Our highly skilled staff and specialists incorporate clinical research, innovative models of care and state-of-the-art technology to deliver the best possible care and outcomes for our patients. We demonstrate our mission to serve our community through outreach programs that support asylum seekers, provide healthcare in rural communities and in underdeveloped countries.

Our size, reputation and growth strategy ensure genuine opportunities for our people to learn, grow and realise potential.

Our values: Compassion - Integrity - Courage - Respect

MANDATORY FOR ALL NEW STAFF TO CABRINI

Employment with Cabrini Health will be based on satisfactory background checks such as professional references, National Police Check, vaccinations for annual Influenza and COVID-19 (including boosters), plus a Working with Children Check (WWCC) may also be requested.