Clinical Documentation Specialist

Clinical Documentation Specialist – Clinical Support

Strathfield Private Hospital, Strathfield

• Permanent part-time opportunities!
• We care about YOU! Access counselling, wellbeing services, legal & financial assistance
• Enjoy benefits such as paid parental leave, study leave and the option to buy extra annual leave.

An exciting opportunity has become available for a Registered nurse to be trained as a Clinical Documentation Specialist, joining the established CDS Team working within Health Information Services.

About the Role

• Your role: Clinical Documentation Specialist
• Mission: Enhance Clinical Documentation quality in patient records
• Autonomy: Review current inpatients’ records independently post-training
• Task: Ensure documentation mirrors care complexity accurately
• Communication: Engage with medical staff on diagnosis and procedures
• Collaboration: Request clarifications in clinical notes for clear coding
• Strategy: Provide ongoing education to clinical team
• Goals: Improve documentation for enhanced quality, safety and revenue protection.  

About You

Dive into this role with at least 5 years of acute clinical experience and preferably bring along a post-graduate clinical qualification or leadership background.

• Your extensive clinical background is crucial, coupled with a solid grasp of clinical terminology and diagnosis.
• Self-driven: Be fueled by your own motivation, thriving both within team dynamics and independently.

You will also have the following:

• Current registration with AHPRA as a Registered Nurse
• Extensive experience in an acute care hospital setting
• Knowledge on related medical records documentation
• Demonstrated ability to develop and maintain good physician relationships
• Excellent critical thinking skills and attention to detail
• Proficient in the use of Microsoft Office suite of programs
• Some knowledge of the Clinical Documentation Specialist role and the confidence to liaise with medical staff on patient treatment/outcomes is essential
• The successful applicant needs to have extensive experience in a number of hospital areas with ED and ICU/CCU specialties desirable.

What’s in it for you?

Professional Advancement: Recognition, Rewards, Professional Development, and Employee referral programs. Free access to LinkedIn Learning, education scholarships and the Ramsay Leadership Academy to support career progression. 

Discounts:  Ramsay Rewards - Access great deals at major retailers. Hospital, Allied Health & Pharmacy discounts - you’ll pay less for hospital cover and receive higher extras limits for things like General and Major Dental.

Health and Wellbeing: Flexible work opportunities with the ability to have a say in your roster, Flexible Leave Program, and a free Employee Assistance Program offering access to confidential counselling, coaching and support 24/7. 

Leisure/Social/Financial: Discounts for leisure travel with selected Hotels, salary sacrifice opportunities e.g., airport lounge membership, self-education expenses, novated leasing and more.

About Ramsay

Strathfield Private Hospital has been servicing the community of Sydney’s inner west for over 30 years and is owned by global hospital group Ramsay Health Care. We cater for a broad range of health care needs from day surgery procedures to highly complex surgery.

Ramsay Health Care is committed to Child Safety.  Details of our commitment are set out in our Code of Conduct, available at www.ramsayhealth.com

Requirements

• Must provide a National Police check conducted within the previous 12 months
• Depending on the role, Ramsay may require a Working-With-Children check and proof of immunisation against infectious diseases, which may include Covid-19.

To Apply

All applications must be lodged online. Applications made by recruitment agencies will not be considered.

If you have any questions about this opportunity, please contact Louise Girgenti via email at *********@ramsayhealth.com.au