Clinical Documentation Improvement Specialist

North Metropolitan Health Service; Perth; On-site; AUD 120,000 - 180,000; Full time

Benefits offered by this job

Salary packaging

Professional development opportunities

Diverse and inclusive culture

Job summary

North Metropolitan Health Service seeks a Clinical Documentation Improvement Specialist (CDIS) on a permanent basis, to lead a team of CDI Analysts and drive documentation excellence across hospitals. You will review clinical records, mentor staff, and collaborate with clinicians to ensure accurate coding, casemix outcomes and activity-based funding.

The role emphasizes leadership, program oversight, and engagement with senior management to improve organizational performance, with flexible work

Qualifications

• Demonstrated knowledge and experience in Clinical Documentation Improvement, including ability to review clinical records and identify documentation deficiencies.
• Ability to mentor and lead a CDI team and engage with clinicians to improve documentation quality.

Responsibilities

• Lead a team of CDI Analysts across multiple specialties.
• Review complex cases and monitor program performance for executive reporting.
• Mentor staff and identify opportunities for continuous improvement.

Skills

CDIS leadership

Clinical documentation improvement

data quality

education delivery

clinician collaboration

Job description

Do you want to be a part of a team that promotes and improves the health of its people and community? This vacancy is for Permanent Full-Time and Permanent Part-Time appointments. What is our Clinical Documentation Improvement Specialist role?

• The Clinical Documentation Improvement Service (CDIS) plays a vital role in improving the quality, accuracy, and completeness of clinical documentation across NMHS hospitals. Working in partnership with clinicians, the team reviews patient records, delivers education, and facilitates clinically appropriate documentation clarification queries to ensure the medical record accurately reflects the care provided, patient complexity, and clinical outcomes. This work supports patient care, data quality, performance reporting, and accurate activity-based funding.
• As the Clinical Documentation Improvement Specialist (CDIS), you will lead a team of CDI Analysts, and apply broad clinical expertise across a wide range of specialties to drive documentation excellence and support organisational performance. This is a unique opportunity to influence clinical practice, foster strong multidisciplinary relationships, and contribute to strategic healthcare improvement initiatives.
• The CDIS provides leadership and oversight of the CDI program, including reviewing complex cases, mentoring CDI Analysts, and identifying opportunities for continuous improvement. The role is also responsible for monitoring and evaluating program performance, insights and recommendation for senior management and executive stakeholders.
• Suitability requirements which may be assessed to determine suitability for this position: Demonstrated knowledge and experience in Clinical Documentation Improvement, including the ability to review clinical records, identify documentation deficiencies, collaborate with clinicians to improve documentation quality, and enhance the accuracy of coded data, casemix outcomes, and activity-based funding.

While your qualifications and experience tell us part of your story, your values and attitude speak louder still. At NMHS, we aim to ensure our behaviours reflect our core values: Care, Respect, Innovation, Teamwork and Integrity. During the selection process you will be assessed on your ability to fulfil the responsibilities of this position while upholding our values.

What we offer

What we offer NMHS supports flexible working practices and consideration will be given to flexible work options, where operationally appropriate. In addition to the great salary, our employees enjoy an amazing range of benefits ( North Metropolitan Health Service - Pay and Benefits ) including:

• Generous salary packaging to increase take-home pay
• Professional and career development opportunities
• Diverse and inclusive culture

Want to know more about this role? We encourage you to contact Esther Halim on 08 6457 0812 to discuss how this role aligns with your personal and career interests.

We think you’ll like it here Our employees like working here, and we think you will too. Watch this video to find out what they have to say.

The JDF is attached for reference.

Your application should include:

• A statement addressing the essential and desirable criteria, as outlined in the JDF. Applicants should provide relevant examples demonstrating their skills, knowledge, and experience against each criterion in no more than 3-4 pages.
• A detailed Resume which sets out your qualifications, capabilities and experience relevant to this position.
• References - the names and contact details of two (2) referees. It is preferable for one of your referees to have been a recent supervisor. Applicants must ensure their nominated referees are available to provide references when requested, as failure to do so may result in them being deemed unsuitable.

Eligibility to Apply

To be suitable for appointment you must have documentary evidence of your entitlement to live and work in Australia. WA Health engages staff in positions of trust and responsibility. WA Health policies require applicants to undertake a criminal records screening and integrity checking as part of the appointment process. As well as undertaking a criminal record screening and integrity checking, you may also be required to undertake a working with children check (if required for the role) and a pre-employment health assessment. We may ask referees to comment on your integrity and past demonstration of ethical behaviour. Please note that adverse information does not necessarily disqualify an applicant but will be considered as part of the appointment process. Whilst this selection process will initially be used to fill the above vacancy, it may also be used to fill other "similar" vacancies throughout the health service or the wider public service. In addition to this, should the successful applicant decline or vacate the advertised vacancy, then the next most suitable applicant may also be selected from this process. Both of these options remain valid for a period of twelve (12) months from when the authorised delegate endorses the recruitment decision.

North Metropolitan Health Service (NMHS) fosters an environment of equity and inclusion and strives to ensure everyone experiences a sense of belonging. We celebrate the rich diversity of our community and are committed to recruiting a team that is reflective of those we care for. We encourage anyone who aligns with our values of Respect, Integrity, Teamwork, Innovation and Care to apply for this role. NMHS is committed to growing the Aboriginal workforce as a part of our Aboriginal Health and Wellbeing Strategy. As a measure to achieve equality, Section 51 of the Equal Opportunity Act 1984 applies to this position. NMHS upholds the social model of disability. We welcome applicants who have disability and endeavour to support reasonable workplace adjustments and flexibility. If you have any access needs or require adjustments to participate in the recruitment process, please contact the NMHS Talent Attraction Group (TAG) at email [e-mail].

Lodgement is system generated. Any submissions after or on, 4:00pm on the closing date will not be accepted. We look forward to receiving your application.