Clinical Documentation Improvement Specialist
7 days ago
Overview
Closing Date: 15 September 2025
Access to wellness programs and fitness passport
Sited at the foot of the Aussie Alps and on the banks of the mighty Murray River
Albury Wodonga's lifestyle is one you can afford to enjoy
The Clinical Documentation Improvement Specialist (CDIS) will be a valued member of Health Information, to improve the quality of clinical documentation via concurrent review of clinical documentation and engagement and education of clinicians. The outcome will be clinical documentation that accurately captures the patient episode of care including diagnoses, clinical treatment, clinical reasoning and decision making. Complete and accurate clinical documentation will better support safer patient care, more accurate performance, activity data and ultimately NWAU funding. We are actively seeking candidates who meet the following requirements to apply for this exceptional opportunity.
To succeed in this role, you will be able to report on all outcomes in a standardised, efficient, and timely manner. You will be a self-motivated, ambitious individual who can work effectively in a team environment, but also autonomously and have a proven ability to engage with clinicians and other key stakeholders. A passion for quality improvement and promoting culture change desirable.
Perform concurrent and retrospective review of inpatient clinical records to identify discrepancies or omissions that may impact the identification of conditions managed and/or procedures performed
Attend clinical meetings to advise regarding accurate and comprehensive clinical documentation of individual cases
Support clinical staff to respond to coding queries and apply learnings to improvement of clinical documentation to reduce the volume of coding queries
Employment Type:
This is a 12 Month, Full-Time, Fixed Term opportunity.
For further details, please refer to the Position Description or alternatively contact Angela Mayhew at for a confidential discussion.
About Albury Wodonga Health (AWH)
AWH serves as the largest regional healthcare provider between Sydney and Melbourne, situated in the border cities of Albury and Wodonga. With a dedicated team of over 3,000 professionals, we proudly service a population of up to 300,000 across North-East Victoria and Southern NSW. Our extensive network encompasses two primary hospital campuses and an additional 22 sites, delivering a diverse range of emergency, surgical, women's and children's, community, mental health, allied health, and sub-acute services. Our growth continues with the opening of a state-of-the-art Emergency Department in 2024, and excitingly, the construction of a new hospital at our Albury site by 2028. This expansion will greatly elevate our ability to service the needs of our community, and we need a great team of people like you to accomplish this.
What awaits you at AWH?
We are committed to our Employee Value Proposition and will deliver on our key pillars of
Growth, Balance, Contribution
and
Lifestyle
. We provide comprehensive induction and training to set you up for success, offer exceptional Rewards and Benefits and continuously nurture your professional growth by providing opportunities for development.
Are you ready to become part of our team?
To uncover compelling reasons to embark on this career journey with us and become part of our fantastic team, please refer to our
Candidate Information Pack.
Salary and terms will be in accordance with the relevant state EBA or Award.
AWH prioritises Equal Employment Opportunity, Ethical Practice, and embraces Cultural Diversity and Social Inclusion. We welcome applications from Aboriginal and Torres Strait Islanders. Please note that appointments are contingent on satisfactory pre-employment checks including Criminal Record check and working with Children checks.
Important Notice: All healthcare workers must maintain all vaccinations required by relevant healthcare regulations, guidelines, or their specific role within the organisation. In addition to mandatory vaccinations, AWH strongly encourage all employees to receive the COVID-19 vaccination and the seasonal influenza (flu) vaccination, as recommended by public health authorities and as a preventative measure to help ensure the safety and well-being of patients, colleagues, and the broader community.
Join our Talent Community
Not the right role for you? Let us know what you're seeking
We'd love you to join our Talent Community so our team can connect with you about other opportunities. To register your details, click Join our Team
#J-18808-Ljbffr
-
Melbourne, Victoria, Australia beBeeDocumentation Full time $110,000 - $125,000About the RoleAs Clinical Documentation Improvement Specialist, you will lead and drive documentation improvement initiatives to ensure best practices, patient safety, and accurate funding.The position will work closely with clinical teams to provide expert advice, education, and training to achieve optimal documentation for accurate clinical coding.Utilise...
-
Improving Clinical Documentation Precision
7 days ago
Melbourne, Victoria, Australia beBeeClinical Full time $92,050 - $117,290Clinical Documentation Specialist OpportunityMake a meaningful impact on the accuracy and completeness of clinical documentation in multiple healthcare settings. As a Clinical Documentation Improvement Specialist, you will collaborate with Health Information Services teams to drive efficiencies and improvements in clinical coding.You will work closely with...
-
Melbourne, Victoria, Australia Epworth Healthcare Full timeExciting opportunities are available for permanent, full-time positions as Clinical Documentation Improvement Specialists (CDI). We are currently recruiting for these roles across several Epworth Hospitals, specifically for Epworth Richmond, Freemasons (East Melbourne) Geelong, and Eastern (Box Hill) sites.Each CDI will work in close collaboration with...
-
Melbourne, Victoria, Australia Mercy Health Full time**Clinical Documentation Improvement Specialist (CDIS) - Mercy Hospital for Women**- An exciting opportunity to use your expert coding, documentation and casemix funding knowledge outside of Health Information Services. As a CDIS you will drive documentation improvement initiatives at the point of care to ensure best practice, patient safety and appropriate...
-
Clinical Documentation Improvement Lead
5 days ago
Melbourne, Victoria, Australia Mercy Health Full timeAn exciting new position to lead Mercy's Clinical Documentation Improvement Program. As CDI Lead you will oversee and drive documentation improvement initiatives to ensure best practice, patient safety and appropriate funding. The position will work closely with clinical staff and provide advice, education and training to achieve optimal documentation for...
-
Clinical Documentation Improvement Lead
5 days ago
Melbourne, Victoria, Australia Mercy Health Full timeLocation: Melbourne | Western MetropolitanJob type: Full timeOrganisation: Mercy Health**Salary**: Salary not specifiedOccupation: Administration/Secretarial, MedicalReference: 19953An exciting new position to lead Mercy's Clinical Documentation Improvement Program. As CDI Lead you will oversee and drive documentation improvement initiatives to ensure best...
-
Clinical Documentation Professional
2 days ago
Melbourne, Victoria, Australia beBeeClinical Full time $125,000 - $137,000Clinical documentation is a vital component of ensuring patient safety and quality care.As a Clinical Documentation Specialist, you will develop strong relationships across Cabrini's services by utilizing your extensive clinical knowledge to ensure completeness of documentation in medical records.You will also engage with staff to promote and embed...
-
Melbourne, Victoria, Australia Becks Wiggins Stokes Pty Ltd Full time $90,000 - $120,000 per yearWe are seeking a qualified Health Information Manager (HIM) or an experienced Clinical Coder to join our client's team in a Clinical Documentation Improvement (CDI) role. This is an exciting opportunity to combine your coding and audit expertise with clinician engagement, helping to improve documentation quality, support accurate Casemix and funding...
-
Senior Clinical Documentation Specialist
5 days ago
Melbourne, Victoria, Australia beBeeClinical Full time $108,000 - $123,000Lead a team to optimize clinical documentation and accurate clinical coding in the healthcare sector. This role involves overseeing a program that ensures best practices, patient safety, and optimal reimbursement.About the RoleThis is a permanent full-time position based at Werribee HospitalThe classification is Health Information Manager Grade 3 or...
-
Clinical Document Specialist
6 days ago
Melbourne, Victoria, Australia beBeeClinical Full time $52,000 - $73,000Job Title:">This is a part-time opportunity for an experienced Clinical Document Specialist.">Your key responsibilities will include:">Collecting and organizing clinical documentation from various areas of the hospital.">Preparing, scanning, and validating medical records for accuracy and completeness.">Providing administrative support for health information...
