Clinical Documentation Improvement Lead

Mercy Health
    Melbourne, Australia
    Job Type
    Reference No.
    Pay Rate
    $50.65-$57.87 per hour
    Application Close Date
    Contact Name
    Amber Carlesso
    Contact Email
    Contact Phone
    8754 3622


    An exciting new position to lead Mercy’s Clinical Documentation Improvement Program. As CDI Lead you will oversee and drive documentation improvement initiatives to ensure best practice, patient safety and appropriate funding. The position will work closely with clinical staff and provide advice, education and training to achieve optimal documentation for accurate clinical coding.


    • Permanent full time, based at Werribee Mercy Hospital
    • Classification, Health Information Manager Grade 3 or equivalent
    • New position to Lead CDI Program at Werribee Mercy Hospital and Mercy Hospital for Women
    • Two Clinical Documentation Improvement Specialist (CDIS) direct reports and supported by the Coding Quality Manager
    • Utilise and adapt Australian first 3M CDI software, CDI Collaborate, to capture and report CDI workflows and impacts
    • Hands-on role, enabling you to use your expert coding, documentation and Activity Based Funding knowledge
    • Provide coding and funding related education and support to clinical managers and leaders
    • Co-ordinate and participate in the daily review of inpatient medical records to proactively identify and manage documentation deficiencies
    • Co-ordinate and deliver education to clinicians and develop resource material to address documentation issues
    • Collaborate with Health Information Services managers and senior coding team on documentation matters impacting the quality and timeliness of coding
    • Hospital Acquired Complications (HACs) subject matter expert. Co-ordinate the review of HAC coding and documentation
    • Recommend form and system improvements to support accurate documentation for coding
    • Recommend coding audits based on documentation issues


    • Minimum 3 years coding experience across a broad range of specialities or CDIS experience
    • Demonstrated leadership experience and influencing skills
    • Excellent communication skills to effectively engage with clinicians
    • Strong organisational skills and ability to engage with multiple stakeholders
    • High attention to detail and a passion for documentation improvement to support coding quality

    ABOUT US: 

    Werribee Mercy Hospital is a General Public Hospital located in the rapidly growing Western suburbs of Melbourne. Our services include surgical, medical, maternity, newborn, renal dialysis, emergency, mental health, rehabilitation, aged and palliative care. The hospital has recently undergone significant expansion with the opening or our new intensive care unit, additional operating theatres and the opening of two new wards, taking the total number of beds to 298. Join us now and be part of our team as we expand to serve our community.

    Mercy Health is a Catholic organisation grounded in a 2,000-year tradition of caring for others. Founded by the Sisters of Mercy, Mercy Health is made up of more than 9,500 people who provide acute and subacute hospital care, aged care, mental health programs, maternity and specialist women's health services, early parenting services, home care services and health worker training and development.

    Mercy Health is proud to be recognised as an Employer of Choice for Gender Equality by the WGEA.


    Mercy Health recognises that people are searching for meaning in their work life and finding a workplace that connects with their values is a key motivation when choosing an employer. As a not-for-profit healthcare provider, Mercy Health has a strong mission and clear values that guide us in everything we do. We pride ourselves on:

    • caring for our people and those important to them with generous employee assistance available for employees and their families
    • encouraging applications from people of all ages, abilities and cultural backgrounds including Aboriginal and/or Torres Strait Islander Peoples, and supporting all staff to be their authentic selves at work through our network group for LGBTIQ+ staff and allies
    • protecting children and vulnerable people in all our services, by listening to them and having zero tolerance of any form of abuse and neglect
    • taking a stand against climate change, which is one of the biggest threats to the health of the world and all humanity, and committing to action that will help make our world fairer and more sustainable
    • offering benefits such as generous salary packaging, purchased leave, career progression and development opportunities, access to health and wellbeing programs and a range of discounts across a diverse portfolio of financial, healthcare, travel and other services.



    • Candidates are required to meet the position and qualification requirements.
    • Provide a current Police Record Check and Working with Children Check (Mercy Health may conduct additional background checks subject to current legislation).
    • Proof of vaccination status consistent with public health orders and with Mercy Health’s policy (includes but is not limited to COVID-19 and seasonal influenza vaccination compliance requirement).


    If you have any questions or require any adjustments to ensure a fair and equitable interview and selection process please contact us on the details below.


    Contact Details

    • Amber Carlesso, Manager Coding Quality
    •, 8754 3622

    Related Jobs

    Health Information Manager/Clinical Coder- Audit Team   185 Cooper Street, Epping, Australia new
    Clinical Documentation Specialist   Bendigo, Australia
    Project Coordinator   Melbourne, Australia
    Chief Health Information Manager   1F Royal Parade, Parkville VIC 3052, Melbourne, Australia
    Health Information Manager   Horsham, Australia