Clinical Documentation Improvement Specialist (CDIS)

Mercy Health
    163 Studley Road, Heidelberg, Australia
    Job Type
    Reference No.
    Application Close Date
    Position Description
    CDIS.pdf 499.14 kB
    Contact Title
    Clinical Documentation Improvement Lead
    Contact Name
    Joanne Buhagiar
    Contact Email
    Contact Phone
    8754 3614


    Clinical Documentation Improvement Specialist (CDIS) - Mercy Hospital for Women
    An exciting opportunity to use your expert coding, documentation and National Funding Model knowledge outside of Health Information Services. As a CDIS you will drive documentation improvement initiatives at the point of care to support optimal coding and appropriate funding. The position will work closely with staff in clinical settings to provide advice, education and training.


    • Permanent full time, based at Mercy Hospital for Women in Heidelberg.
    • Classification, Health Information Manager Grade 2 or equivalent.
    • Supported by a CDI Lead and the Manager Coding Quality.
    • Utilise Australian first 3M CDI software CDI Collaborate to capture CDI interventions in real time.
    • Mercy Health subject matter expert in the area of Women’s & Children’s coding including NICU.
    • Daily review of inpatient medical records to proactively identify and manage documentation deficiencies.
    • Provide education to clinicians and develop resource material to address documentation issues.
    • Act as a conduit between coding and clinical teams to ensure documentation supports optimal coding.
    • Review Hospital Acquired Complication (HAC) documentation and coding.
    • Perform quality audits of coded data and provide feedback and education to the coding team.
    • Liaise as required with relevant Werribee Mercy Hospital staff to ensure a consistent approach to documentation improvement initiatives at Mercy Health.


    • Minimum 18 months coding experience including neonatal and obstetric coding or hold a clinical qualification with CDIS experience.
    • For HIM/coder applicants previous CDIS experience is desirable but not essential.
    • Demonstrated leadership qualities and influencing skills.
    • Excellent communication skills to effectively engage with clinicians.
    • High attention to detail and a passion for documentation improvement to support coding quality.

    Mercy Hospital for Women is a fully accredited Level 6 Public Specialist Teaching Hospital providing both public and private patient care through maternity services, neonatology and paediatrics, perioperative services, gynaecology, women's health and associated health, support and diagnostic services. We are a major teaching hospital and specialist referral centre with the medical, nursing, midwifery and allied health expertise to treat the most complex obstetric, neonatal and gynaecological cases.
    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

    • Joanne Buhagiar, Clinical Documentation Improvement Lead
    •, 8754 3614

    To view the position description or submit your application please click the 'Apply Now' button

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