Clinical Documentation Specialist

Your Position at St John of God Bendigo Hospital

You will act as an advisor to clinicians regarding complete and accurate inpatient documentation.

Ensure a high quality efficient and effective service provision within agreed KPIs and protect hospital revenues through ensuring compliance with documentation.

This newly created position is designed to enhance the quality of clinical documentation provided by VMOs optimise health fund returns and support the development and implementation of improved internal processes to ensure consistently high standards of clinical documentation.

The Position

• Demonstrate increased revenue as a result of clinical documentation improvement activities.

• Ensure a robust clinical documentation practices thereby legitimately reducing the impact of Health Fund audits.

• Ensure that gaps in clinical documentation are identified and addressed via training and use of appropriate documentation guides.

• Develop and implement effective education programs to optimise calibre of clinical documentation and timely processing and handling of clinical documentation in wards

• Evaluate education outcomes and amend to optimise standards

• Ability to positively influence directions and decisions and change behaviours

• Present and articulate at all levels of the organisation to increase knowledge of the service and implication of health fund contracts

• Demonstrates leadership through effective communication interpersonal skills change management ability and the development of a high performance team that exhibits a culture of professional accountability and quality service.

• Identify opportunities and priorities for inpatient clinical documentation improvement across SJG and initiate clinical documentation improvement initiatives where these are not currently in place of not effective

• Provides support and liaises with other hospital caregivers and users of the service as required.

You will have Bachelor of Nursing or equivalent and broad-based clinical knowledge and understanding of pathology/physiology of disease processes with minimum of 5 years recent experience working in a hospital clinical care environment.

To succeed you will have good understanding of clinical documentation in a hospital environment and experience in auditing and reviewing clinical documentation for variance completeness and improvement. Knowledge of hospital based clinical coding processes the International Classification of Diseases (ICD-10-AM) and Diagnostic Related Groups (AR-DRGs) and how they relate to inpatient funding is desirable.

Above all patients will be at the core of everything you do committing to and supporting our Mission and Values

The Benefits:

• Salary $108867 to $114596 per annum (pro rata for part time) plus 12% superannuation

• Fixed term part-time position working up to 38 hours a fortnight

• Salary packaging up to $18550 on a range of benefits such as mortgage rent meal entertainment holiday accommodation or other everyday living expenses as well as options to salary package benefits above the FBT cap on items such as:

  • Novated leasing

  • work related expenses

  • self-education and

  • additional superannuation

• A welcoming & supportive culture

• Flexible work options

• Discounts on hospital services & private health insurance

• Option to purchase up to two weeks of additional annual leave

• Dynamic role in multidisciplinary team

For enquiries contact Adam Woods Director Finance on

At St John of God Health Care we celebrate diversity and warmly welcome applications from people of all backgrounds.

Our commitment is to create a safe and nurturing environment for all children and vulnerable individuals in our care and proactively take steps to protect them from abuse ensuring their safety and well-being.

Our inclusive culture fosters an environment that is respectful and secure welcoming and accessible and unified through our diverse community.

All caregivers employed by St John of God Health Care are required to be vaccinated from Influenza in order to fulfil the requirements of the role.