Title:  Clinical Documentation Specialist

Clinical Documentation Specialist

• Permanent Full-time or Part-Time | 5 weeks annual leave
• Box Hill Hospital | Job share considered
• Information Integrity Program - Classification and Coding

Eastern Health

Eastern Health is one of Melbourne’s largest public health services. We provide a range of emergency, surgical, medical and general healthcare services and have a proud history of serving a diverse community.

Our Employee Value Proposition is “Being a part of Eastern Health means belonging to a welcoming team of healthcare experts”.

This statement aligns with our promise to our communities, patients, consumers and staff that we will be HEALTHIER TOGETHER. Bolder than a vision for the future, our promise calls us to action. We know that working together is the only way we can achieve what is necessary for a healthier future.

About the role

An exciting opportunity exists for a CDS to become part of the new Clinical Documentation Improvement (CDI) program at Eastern Health.   As the organisation’s first CDS, you will have the unique opportunity to assist with the formation and development of the new CDI program. You will review patient records and liaise with clinical teams on the ward to educate clinicians and promote high quality clinical documentation. The CDS role’s objective is to promote the accurate, complete, and timely recording of patient information, and the subsequent translation of this information into high-quality coding for downstream reporting and reimbursement. This position will be based at Box Hill Hospital but may be required to work across all sites. 

You will be provided with comprehensive support throughout onboarding and ongoing under the supervision of the Associate Program Director – Classification and Coding as well as working closely with the Coding Co-ordinator – Documentation and clinical leadership. You will need to be highly motivated, enthusiastic, have a strong desire to learn and be adaptive to change. 

This is a full-time position primarily located on-site at BHH, but part-time/job share arrangements would be considered. 

About you 

To be successful in this role you will possess:

Essential

• A Bachelor’s/master’s degree in either Nursing, Allied Health, Medicine, Health Information Management, or equivalent
• 3 years post graduate experience (acute care desirable)
• Evidence of strong critical thinking/problem solving and analytical skills
• Possess significant personal initiative and be skilled in program development
• Demonstrated high level organisational skills with attention to detail
• Excellent communication skills and ability to engage and build a rapport with a variety of stakeholders
• Be able to respond to and implement change to identify and achieve improvement
• Ability to work autonomously and within a diverse team. 
• A strong commitment to high quality care

Desirable:  

• Demonstrated interest in quality improvement (experience of involvement in quality improvement projects desirable) 
• Certification in recognised Clinical Documentation Improvement competency
• Basic understanding of clinical coding principles and Activity based funding 

Healthcare workers are strongly recommended to follow COVID vaccination recommendations provided in the Australian Immunisation handbook (based on ATAGI advice). Seasonal vaccination against influenza is a mandatory requirement of this role and an offer is conditional on this being up to date prior to employment.

What we offer

Eastern Health offers a variety of fantastic Employee Benefits, view the extensive range here!

• Mentor and Shadowing program 
• Access to discovery days across our 50 sites 
• Study and professional development leave 
• Friendly & supportive teams
• Commitment to Diversity, Equity and Inclusion 
• Fitness Passport for work-life balance 
• Employee Assistance program accessible for you and your loved ones 
• Flexible working hours and excellent entitlements 
• Salary packaging options and an employee benefits scheme 
• Access to Private Health Insurance offers 
• Digital upskilling, such as excel and Power-Bi training 
• Cafes at all of our Hospitals 

Next Steps

Apply online if you feel we are a good match, you have the skills and qualities to make a difference, and are eligible to work in Australia.

We review all applications when we receive them, and we notify unsuccessful candidates.

If you are shortlisted, we will be in touch to arrange an interview, and you must complete a National Police Check.

Good to know:

• We are an equal opportunity employer and actively promote equality for people of all races, ethnicities, gender identities, sexual orientations, and for people living with disability – within the communities we serve and our Eastern Health team.
• We provide a culturally safe and welcoming environment for Aboriginal and/or Torres Strait Islander employees.
• As a child-safe organisation, we ensure child safety and wellbeing is embedded in our everyday culture.
• Vaccination and screening for immunity to vaccine-preventable disease is a mandatory requirement of this role.
• Advertising may end before the closing date.
• We do not accept recruitment agency application

If you are a current Eastern Health employee please ensure you log in with your internal Eastern Health account to apply for this or other roles.

Please click here for position description link

Contact Person: Erica Wardle

Contact Number: 0409 550857

Contact Email: erica.wardle@easternhealth.org.au

Job Posting End Date: 07/02/2026

Need help submitting your application?

Just contact the Hiring Manager in the advertisement or call the Talent Acquisition Team on (03) 9955 7555 (Option 1) | Medical Workforce Unit on (03) 9895 3469. [TA for Non Medical roles, MWU for Medical roles]

Click Here for the Candidate Guide also for help in our recruitment process!

Our Values in Action:

Respect for all | Safe always | Partnering in care | Learning and improving every day