Clinical Documentation Improvement Specialist

About the Role

Closing Date: 28 July 2025

• Access to wellness programs and fitness passport
• Situated at the foot of the Aussie Alps and on the banks of the mighty Murray River
• Albury Wodonga's lifestyle is one you can afford to enjoy!

The Clinical Documentation Improvement Specialist (CDIS) will be a valued member of Health Information, to improve the quality of clinical documentation via concurrent review of clinical documentation and engagement and education of clinicians.  The outcome will be clinical documentation that accurately captures the patient episode of care including diagnoses, clinical treatment, clinical reasoning and decision making.  Complete and accurate clinical documentation will better support safer patient care, more accurate performance, activity data and ultimately NWAU funding. We are actively seeking candidates who meet the following requirements to apply for this exceptional opportunity.

To succeed in this role, you will be able to report on all outcomes in a standardised, efficient, and timely manner. You will be a self-motivated, ambitious individual who can work effectively in a team environment, but also autonomously and have a proven ability to engage with clinicians and other key stakeholders. A passion for quality improvement and promoting culture change desirable.

• Perform concurrent and retrospective review of inpatient clinical records to identify discrepancies or omissions that may impact the identification of conditions managed and/or procedures performed
• Attend clinical meetings to advise regarding accurate and comprehensive clinical documentation of individual cases
• Support clinical staff to respond to coding queries and apply learnings to improvement of clinical documentation to reduce the volume of coding queries

Employment Type: This is a permanent fulltime opportunity.

For further details, please refer to the Position Description or alternatively contact Angela Mayhew at angela.mayhew@awh.org.au for a confidential discussion.

About Albury Wodonga Health (AWH)

AWH serves as the largest regional healthcare provider between Sydney and Melbourne, situated in the border cities of Albury and Wodonga. With a dedicated team of over 3,000 professionals, we proudly service a population of up to 300,000 across North-East Victoria and Southern NSW. Our extensive network encompasses two primary hospital campuses and an additional 22 sites, delivering a diverse range of emergency, surgical, women’s and children’s, community, mental health, allied health, and sub-acute services. Our growth continues with the opening of a state-of-the-art Emergency Department in 2024, and excitingly, the construction of a new hospital at our Albury site by 2028.  This expansion will greatly elevate our ability to service the needs of our community, and we need a great team of people like you to accomplish this.
 

What awaits you at AWH?

We are committed to our Employee Value Proposition and will deliver on our key pillars of Growth, Balance, Contribution and Lifestyle. We provide comprehensive induction and training to set you up for success, offer exceptional Rewards and Benefits and continuously nurture your professional growth by providing opportunities for development. 

Are you ready to become part of our team?

To uncover compelling reasons to embark on this career journey with us and become part of our fantastic team, please refer to our Candidate Information Pack.
Salary and terms will be in accordance with the relevant state EBA or Award.

AWH prioritises Equal Employment Opportunity, Ethical Practice, and embraces Cultural Diversity and Social Inclusion. We welcome applications from Aboriginal and Torres Strait Islanders. Please note that appointments are contingent on satisfactory pre-employment checks including Criminal Record check and working with Children checks.

Important Notice: All healthcare workers must maintain all vaccinations required by relevant healthcare regulations, guidelines, or their specific role within the organisation. In addition to mandatory vaccinations, AWH strongly encourage all employees to receive the COVID-19 vaccination and the seasonal influenza (flu) vaccination, as recommended by public health authorities and as a preventative measure to help ensure the safety and well-being of patients, colleagues, and the broader community.

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