Clinical Documentation Improvement Specialist (CDIS)

Mercy Health
Mercy Hospital for Women, Heidelberg, Melbourne, Australia
Job Type
Reference No.
Pay Rate
As per award
Application Close Date
Contact Name
Amber Carlesso
Contact Email
Contact Phone
03 8754 3622



An exciting opportunity to use your expert coding, documentation and casemix funding knowledge outside of Health Information Services. As a CDIS you will drive documentation (paper and electronic) improvement initiatives at the point of care to ensure best practice, patient safety and appropriate funding. The position will work closely with staff in the clinical setting to provide advice, education and training. The CDIS will also support the objectives of the friendly Coding Quality Team to ensure job variety and ongoing professional development.

  • Permanent part time, 0.8 based at Mercy Hospital for Women in Heidelberg
  • Subject matter expert in the area of Women’s and Children’s funding principles (particularly NICU) across Mercy Hospital for Women and Werribee Mercy Hospital.
  • Liaise as required with relevant staff at Werribee Mercy Hospital to ensure a consistent approach to documentation improvement initiatives
  • Daily review of inpatient medical notes to proactively identify and manage documentation deficiencies
  • Provide education to clinicians and develop resource material to address documentation issues
  • Make recommendations to improve clinical documentation and data variables impacting revenue
  • Oversee systems that capture CDIS interventions
  • Act as a conduit between the coding team and clinicians to ensure documentation supports optimal coding with identified deficiencies rectified prior to discharge
  • Perform quality audits of coded data and provide feedback and education to the coding team


  • Minimum 3 years coding experience including neonatal and obstetric coding
  • Comprehensive knowledge of ICD-10-AM coding and casemix funding principles
  • Previous CDIS experience is desirable but not essential
  • Demonstrated leadership qualities and influencing skills
  • Excellent communication skills to effectively engage clinicians
  • High attention to detail and a passion for documentation improvement to support coding quality
  • Relevant tertiary or postgraduate qualifications in Health Information Management or equivalent
  • Eligible for full membership of the Health Information Management Association of Australia (HIMAA)


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 many people want to work somewhere that is more than ‘just a job.’ With a values based culture, Mercy Health offer a generous range of benefits to support you to maintain a healthy work/life balance. These include:

  • Salary packaging benefits
  • Opportunity to purchase additional leave
  • Health and Wellbeing programs
  • Camp Australia School Holiday Program
  • Career progression and development opportunities
  • A range of discounts available across a diverse portfolio of financial, healthcare, travel and other services

We focus on caring for our staff members and those important to them. We support all staff to be their authentic selves at work through Whole Self @ Mercy Health - our network group for LGBTIQ staff and allies.

At Mercy Health we pride ourselves on embracing diversity and foster an inclusive culture where individual differences are respected and celebrated. We encourage applications from people of all ages, abilities and cultural backgrounds including Aboriginal and/or Torres Strait Islander Peoples.

Mercy Health is committed to the safety of all children and vulnerable people across our services. We recognise the importance of listening to the voice of children and vulnerable people and have a zero tolerance of any form of abuse and neglect.

To be the successful candidate you must meet the position requirements as well as provide a current Police Record Check and Working with Children Check. Mercy Health may conduct additional background checks subject to current legislation.

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.


  • Amber Carlesso, Coding Quality Manager
  • or 8754 3622

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