Clinical Documentation Improvement Specialist

Vor 3 Tagen


Council of the City of Sydney, Österreich Healthe Care Group Vollzeit

Clinical Documentation Improvement Specialist Healthe Care are expanding our Clinical Documentation Improvement (CDI) team and are seeking three experienced and motivated CDI Specialists to join our established service. These newly created roles add to an existing team based at Gosford Private Hospital (NSW) and Mulgrave Private Hospital (VIC). This commitment to high-quality clinical documentation facilitates exceptional patient care and supports accurate coded data. Based at Hurstville Private Hospital, Maitland Private Hospital (NSW) and Lingard Private Hospital (Newcastle), these roles will work closely with clinicians, clinical coders and health information teams to support clear, complete and contemporaneous clinical documentation that accurately reflects patient complexity, care provided, and outcomes achieved. About the role Reporting to the CDS Lead, you will: Review inpatient documentation to identify opportunities for improvement in clarity, specificity and completeness Engage with clinicians in a collaborative, educational manner to support best‑practice documentation Facilitate timely and appropriate clinical clarification where required Partner with Clinical Coding and Health Information teams to support accurate coding and DRG assignment Contribute to education and continuous improvement initiatives Support consistency in documentation practices across sites as the CDI service continues to grow About you A clinical background (e.g. nursing, allied health or medical) Demonstrated experience in Clinical Documentation Improvement Sound understanding of ICD‑10‑AM, ACHI, ACS and activity‑based funding principles Excellent communication skills and the ability to engage credibly with clinicians A collaborative, pragmatic and improvement‑focused mindset Experience working in acute hospital settings (private sector experience desirable) Why join us? Be part of a growing CDI team with strong executive and operational support Opportunity to shape and mature CDI practices across multiple sites Collaborative culture with close links to Clinical Coding and Health Information teams Permanent roles with flexibility and professional development opportunities Make a meaningful impact on documentation quality, data integrity and funding accuracy Competitive remuneration Locations Hurstville Private Hospital Maitland Private Hospital Lingard Private Hospital If you’re passionate about improving clinical documentation and want to be part of a team that is building something meaningful, we’d love to hear from you. Applications Closing date Friday 17th January 2026 All written applications must address and meet essential criteria. Applications must include current CV and the names of at least two professional referees. Please note Unsolicited resumes from recruitment agencies will not be accepted Candidates must have full working rights in Australia and be based locally Position Enquiries Christine Boktor Coding Auditor/ CDS Lead ***************@healthecare.com.au Karen Hastings National Health Information Manager **************@healthecare.com.au #J-18808-Ljbffr



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