About the role

Mater Private Hospital Brisbane has a rewarding opportunity for a Clinical Documentation Specialist to join the Revenue Assurance team. This position is offered on a permanent, part-time (0.4 FTE/2 days per week) basis based at South Brisbane.

In this pivotal role you will advise and support clinicians including Mater doctors, VMOs, nursing and allied health staff in the requirements of accurate and complete clinical documentation as required by the ICD-10-AM and AR-DRG classifications, to capture all contributing factors to patient care, acuity and complexity in the coded data as guided by the Australian Coding Standards.

This position will improve the quality of documentation to support best clinical practice and the Mater’s ability to be appropriately remunerated for patient activity. In turn, this will establish a sustainable approach to the accurate and complete capture of required clinical documentation for clinical coding purposes and associated inpatient clinical documentation review processes. 

Salary range: $66.85 - $72.58 per hour plus 11.5% superannuation and access to not-for-profit salary packaging up to $15,900 + access to many staff benefits! 

What you’ll be doing

The primary duties of the role will include:

• Identify opportunities and priorities for inpatient clinical documentation improvement across Mater and initiate clinical documentation improvement initiatives where these are not in in place or not effective/sustained.
• Undertake inpatient clinical documentation review.
• Coach, mentor and support Mater clinical staff responsible for/assisting with inpatient clinical documentation review.
• Monitor and measure the performance and outcomes of Mater’s inpatient clinical documentation improvement initiatives and identify and recommend where and how further improvements can be achieved
• Identify and implement strategies to overcome barriers to effective clinical documentation as it relates to the recording of diagnostic and treatment information required for clinical coding
• Work collaboratively with clinical staff accountable and responsible for clinical documentation and inpatient clinical documentation review
• Partner with the Clinical Coding Service to identify and target areas for clinician education and clinical documentation improvement including the review of clinical coding queries and coding audit findings
• Contribute to the development of and champion the utilisation of clinical documentation guides and other clinical documentation resources for clinical staff
• Connect with the Australian and international clinical documentation improvement community and resources including the Association of Clinical Documentation Improvement Specialists 

About you

To be successful in this role you will possess a broad-based clinical knowledge and understanding of pathology/physiology of disease processes and minimum of 5 years recent experience working in a hospital clinical care environment and hold a Bachelor of Nursing.

Additionally, the successful candidate will have the following: 

• Good understanding of clinical documentation in a hospital environment and experience in auditing and reviewing clinical documentation for variance, completeness, and improvement
• Proven ability and experience in implementing change and improvement processes in a clinical environment with successful outcomes 

Why join us?

Mater is Queensland’s largest not-for-profit healthcare provider, delivering exceptional care to nearly 700,000 patients each year across 11 (soon to be 12) hospitals. We’re leaders in healthcare, education, fundraising & philanthropy and research — and it’s our people who make the difference.

We’re looking for passionate individuals to join our team and help shape the future of care. At Mater, you’ll be part of a purpose-driven organisation that values innovation, compassion, and excellence.

• Increase your take-home pay with generous salary packaging options, including meal and entertainment benefits
• Grow your career with access to industry-leading training and professional development through Mater Education
• Wellbeing support through our Employee Assistance Program and on-site pastoral care teams
• Access a range of health and wellbeing services with a corporate discount on private health insurance
• Exclusive discounts across dining, retail, travel, accommodation (just to name a few!)
• Stay active with unlimited access to discounted gyms via the Fitness Passport program
• Convenient, discounted on-site parking
• Enjoy great food with reduced prices at our campus cafés and coffee spots
• Join Queensland’s Largest and Most Innovative Not-for-Profit Healthcare Team.

Be part of something bigger. Make your move with Mater. #MAKEYOURMATERMOVE

For more information regarding the role, please contact Regan Dent - Senior Manager Revenue Assurance at regan.dent@mater.org.au

Applications close on Sunday, 22nd June 2025. Please note, we may contact applicants prior to the closing date, please do not hesitate to APPLY NOW!

Mater is committed to the wellbeing of their staff, and it is underpinned by our flexible and remote working policies.

Please Note: We will not require any support from Recruitment Agencies at this time and kindly request no contact is made. Only direct applications will be considered.

Mater Group is dedicated to creating a workplace that values diversity and inclusion. As an Equal Opportunity Employer, we welcome applications from individuals of all backgrounds and abilities. We believe in providing equal opportunities for all qualified candidates.

For more information regarding Reconciliation at Mater, please visit our Reconciliation webpage.