Clinical Documentation Specialist

Clinical Documentation Specialist

Organisation Name: St John of God Murdoch
Published: 18/04/2024
Location: Murdoch, Perth WA
Job Type: Full time
Reference Number:
Pay Rate:
Job Link: https://www.seek.com.au/job/75215344?ref=search-standalone&type=standout#sol=6918683753c3b0ad2bb350152d29bf737faa1f0d
State: Western Australia
Application Close Date: 29/04/2024
Contact Name: Kiara Brown
Contact Email:
Contact Phone: (08) 9438 9976

Description

Welcome to St John of God Health Care

St John of God Health Care is one of the largest private providers of health care services in Australia, employing more than 16,000 employees (caregivers). We operate 27 hospitals and services comprising more than 3,500 hospital beds, including home nursing, disability services and social outreach programs.

As a Catholic, not-for-profit group, we invest all profits to the communities we serve by updating and expanding our facilities and technology; expanding existing services and developing and acquiring new services; and providing Social Outreach services to people experiencing disadvantage to improve health and wellbeing.

St John of God Murdoch Hospital is one of the leading private health campuses in Western Australia, and major health care hub in the southern region. Offering 507-beds, services include an emergency department, operating theatres, endoscopy suites, birth suite and maternity ward, medical library and education center.

Your role at St John of God Murdoch

You will act as an advisor to clinicians regarding complete and accurate inpatient documentation to ensure a high quality, efficient and effective service provision, within agreed KPIs.

Acting as a liaison between clinicians and coders with the ultimate goal of creating mutual understanding of the multiple uses of medical record documentation, you will improve the quality of documentation to support best clinical practice and the ability to be appropriately remunerated for patient care.

The Position

  • Demonstrate 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.
  • Contribute to quality initiatives to ensure the provision of a quality clinical coding service and provide expert knowledge to the multidisciplinary team on issues related.
  • Partner with the Coding Manager to identify and target areas for clinician education and clinical documentation improvement including the review of clinical coding queries and coding audit findings.
  • Ensure caregivers at all levels have an understanding of key organisational strategies and can see how their work contributes to higher- level objectives.
  • Promote and maintain collaborative relationships with accredited Medical Practitioners and other key stakeholders.
  • Accept accountability for ensuring the service is compliant with relevant Acts, Agreements, Contracts, Licensing requirements, National Standards, Policies and Procedures.
  • Actively participate in all relevant clinical and non-clinical committees within and externally to the Hospital as applicable.
  • Identify opportunities and priorities for inpatient clinical documentation improvement across SJG and initiate clinical documentation improvement initiatives where these are not currently in place or not effective.
  • Provide support and liaises with other hospital caregivers and users of the service as required.
  • Monitor and report on relevant KPI's and recommend where and how further improvements can be achieved.
  • Contribute to the development and implementation of clinical documentation guides as well as other documentation resources for caregivers.
  • Establish and maintain effective operational relationships to identify areas of risk to hospital revenue.
  • Work collaboratively to identify key learnings and develop mitigation strategies.

You will have a good understanding of clinical documentation in a hospital environment and experience in auditing and reviewing clinical documentation for variance, completeness and improvement.

With experience in implementing change and improvement processes in a clinical environment, you will have the ability to identify, critically analyze and solve problems to reach satisfactory and effective outcomes.

Your strong interpersonal, written and verbal skills will assist you in effectively communicating and educating a wide range of clinicians. You will engage, influence and motivate our multidisciplinary team of clinicians to achieve the required outcomes.

To succeed you will have a broad-based clinical knowledge and understanding of pathology and physiology of disease processes with a minimum of 5 years recent experience working in a hospital clinical care environment. 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 beneficial to the role.

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

We can offer you

  • Competitive Salary
  • A fixed term, full time position, working 38 hours per week
  • Salary packaging up to $18,550 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 healthy work-life balance through flexible work options, additional purchased leave & well-being programs
  • Employee discount on St John of God Hospital & Medical Services and Private Health Insurance
  • Employee support through our dedicated free Employee Assistance Program (EAP)
  • Innovative Professional Development opportunities

All applicants are asked to submit a covering letter (of no more than two (2) pages) demonstrating how you meet the above position requirements.

St John of God Health Care embraces diversity and strongly encourages applications from Aboriginal and Torres Strait Islander peoples and people with disabilities. We are committed to providing a safe environment for all children and vulnerable people in our care and proactively take measures to protect children/vulnerable people from abuse.