Job

The Clinical Documentation Specialist works as part of the Clinical Coding Management Team and broader Health Information Management Services (HIMS) team and will develop, implement and monitor clinical documentation integrity initiatives to support best practice and patient safety, ensuring quality, completeness, timeliness and accuracy of clinical documentation in the patient health record as well as partner with the clinical coding management team, clinical and other hospital staff to review clinical documentation in health records and provide ongoing education regarding clinical documentation and its relationship to clinical coding and Activity Based Funding (ABF).

• Undertake audits of clinical documentation for current inpatients, monitoring completeness and accuracy for the purpose of both patient safety and subsequent clinical coding, Diagnosis Related Group (DRG) allocation and funding under ABF models.
• Provide feedback, training and education to both clinical and clinical coding staff on the impact of clinical documentation on data integrity, national reporting and revenue.
• Identify, develop, communicate, and implement clinical documentation quality strategies across Hospitals North/North West and Hospitals South including development and maintenance of clinical education resources to support high quality clinical documentation.
• Work collaboratively with clinical and other multidisciplinary teams to facilitate ward based concurrent and retrospective review of clinical documentation including that which impacts patient care decision making such as care type. 

Note: - Please refer to the Statement of Duties for all the selection criteria of this position to address in your application.

Details of Appointment

Permanent full time and part time, day worker positions working up to 76 hours per fortnight commencing as soon as possible

*notwithstanding hours may be negotiated with the successful applicant

• Applicants should note that, for a period of twelve months from the date of publication, this selection process may be used to fill subsequent or fixed term full time, part time and casual vacancies.

Salary: $104,756 - $118,730 per annum. Our Employer 11.5% superannuation contribution is on top of this amount.

• Salary range is in accordance with Public Sector Unions Wages Agreement 2022

Eligibility:

Applicants should note the following criteria are desirable:

1. Clinical Documentation Certification

2. Certificate IV in Training and Assessment

3. Qualification in Health Information Management, Clinical Coding, Nursing, Allied Health or Medicine.

The Head of the State Service has determined that the person nominated for this job is to satisfy a pre‑employment check before taking up the appointment, on promotion or transfer. The following checks are to be conducted:

1. Conviction checks in the following areas:

1. crimes of violence
2. sex related offences
3. serious drug offences
4. crimes involving dishonesty
5. serious traffic offences 

2. Identification check
3. Disciplinary action in previous employment check.