Clinical Documentation Specialist

  • Company:
    Royal Rehab
  • Location:
  • Salary:
    negotiable / month
  • Job type:
    Full-Time
  • Posted:
    4 days ago
  • Category:
    Scientific
  • Permanent full-time role available
  • Health Service Manager, level 3
  • Salary packaging available
  • NSW Health Affiliate
  • Working across multiple sites
  • Royal Rehab is a leading rehabilitation and disability support provider and registered non-profit organisation. Royal Rehab is highly regarded for specialist brain and spinal cord injury rehabilitation. Our services also incorporate supported accommodation, a private hospital, a purpose-built spinal cord injury resort and community services which provide our clients with holistic quality care.

    The Clinical Documentation Specialist is a new role for Royal Rehab and will work within the Clinical Information Department. This unit provides a range of services including clinical records management, clinical coding and case mix data generation, forms design and managing access to personal health information to facilitate patient care and follow-up, for research, quality improvement, education, and hospital management purposes.

    Your main duties will include:

  • The Clinical Documentation Specialist is responsible for the planning, design, development, implementation & delivery of ongoing audits, training, and education activities.
  • They will perform ongoing documentation reviews of medical records to clarify diagnoses and procedures where inadequate or conflicting documentation exists in a record.
  • Liaise effectively with and educate clinicians to eliminate ambiguity in documentation to improve coding specificity and optimise funding and revenue outcomes.
  • Facilitate improvements to clinical documentation to support clinical safety and patient outcomes.
  • We seek a self-motivated and friendly individual with:

  • Clinical experience in a healthcare environment and/or formal Clinical Documentation Improvement Specialist training
  • High-level communication and interpersonal skills with demonstrated ability to consult and negotiate with key stakeholders, including senior medical staff.
  • 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
  • Experience with differing medical record systems including both electronic medical records and paper based medical records
  • Excellent time management and self organisational skills.
  • Current drivers licence valid within Australia and flexibility to travel between various facilities.
  • Applications

    Applications must be submitted via our online recruitment website. To apply, please visit https://royalrehab.recruitmenthub.com.au/Vacancies/ and complete the online application process. Applications must address the full Essential and Desirable selection criteria, as outlined in the position description.

    Further Enquiries : Sussan Nguyen, Manager of clinical information, performance & reporting

    Phone: (02) 9808 9311

    Email: Sussan.Nguyen@royalrehab.com.au

    Closing Date : 25 September 2020