Clinical Documentation Specialist - Permanent Full-Time position

About the role

An exciting opportunity exists to focus on improving the clinical documentation for the Cairns Private Hospital. If successful in this role, your focus will be to provide a clinically based concurrent review of inpatient medical records to evaluate the utilisation and documentation of acute care services. The primary goal of the review will be the facilitation of appropriate physician documentation of care delivery to accurately reflect patient complexity.

You will regularly be working alongside medical professionals and the nursing teams in this documentation review process, so this is an opportunity to employ your strong relationship development skills and medical information knowledge to improve the governance and accuracy of patient records within the hospital. This is a crucial role in the hospital’s operations day-to-day.

About You

To succeed in this role, you will bring a proven record of clinical experience in acute care settings with a strong understanding of medical records documentation. You will bring a broad knowledge base of pathology/physiology of disease processes and the ability to quickly analyse and organise clinical information.

Successful candidates will meet the following criteria:

• Bachelors degree in nursing, science, / allied health or similar will be considered
• Knowledge of medical records documentation
• Minimum 2 years recent clinical experience in an acute care setting
• Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
• Ability to deliver result within tight timeframes
• Demonstrated ability to build and maintain physician relationships
• Strong skills in the Microsoft Office suite of programs
• Strong ability to work autonomously and deliver the desired outcomes

Applicants who meet the following criteria will be highly regarded:

• Competent using Meditech
• Strong understanding of Health Fund Contracts
• CDIA Certificate 1,2 or 3

Remuneration

Per Hour from - $62.29 + superannuation based on experience level and qualifications, exclusive of penalties or allowances. (RN 3.1)

Cairns Private Hospital

Cairns Private Hospital in tropical Cairns in far north Queensland, is a modern, well-equipped facility which offers a comprehensive range of medical and allied services. The hospital is owned and operated by Ramsay Health Care, a global operator of private hospitals and primary care clinics with 72 Australian sites employing over 34,000 people. We have been focused on delivering high-quality patient care and practising the Ramsay Way philosophy of ‘People Caring for People’ since 1964.

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: 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.

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.

Requirements

• Must provide a National Police check conducted within the previous 12 months
• According to the role, Ramsay may require a Working-With-Children check and proof of immunisation against infectious diseases.

To Apply

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

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