The Decision Support Unit (DSU) is led by an Executive Group Manager reporting to the Chief Finance Officer within Canberra Health Services (CHS).

The DSU’s role includes:

• Promoting accountability to achieve strategic goals and building organisational capability to align Activity Based Funding (ABF) and Operational Planning
• provision of ICT Services for CHS
• provision of data quality
• provision of Health Information Services
• supporting the efficient use of the Digital Health Record (informatics) and providing the liaison point between CHS and the DHR provider.
• provision of decision support services to enable operational and non-operational planning and quality reporting.

Clinical Documentation Specialists work closely with clinicians and clinical coders under the direction of the Clinical Documentation Improvement Nurse Manager. This dynamic role offers nurses the opportunity to contribute to the coordination and delivery of Clinical Documentation Improvement (CDI) initiatives at Canberra Health Services, with a focus on optimising the quality, completeness, timeliness, and accuracy of clinical documentation. By collaborating with clinical teams, these specialists help ensure documentation supports high-quality patient care, accurate clinical coding, compliance with standards, and appropriate hospital funding.

Specific responsibilities include, but are not limited to, the following.

Under the direction of the Clinical Documentation Improvement Manager, you will:

1. Perform concurrent and retrospective review of clinical records to identify discrepancies or omissions that may impact the identification of conditions managed and/or procedures performed.
2. Work collaboratively with the healthcare team, including at the point of care, to clarify discrepancies or omissions in the documentation to ensure diagnoses and procedures accurately reflect the patient’s clinical status, care delivery and resource utilisation.
3. Generate verbal and written queries to clinicians, that are clear, non-leading, ethical and in line with the Australian Coding Standards and the Clinical Coding Practice Framework.
4. Deliver CDI education, which is relevant to the target audience, specialty area and in line with the program objectives.
5. Build the profile of CDI across Canberra Health Services.
6. Undertake other duties as directed, within the approved scope of clinical practice ensuring the delivery of high-quality person and family centered, safe and high-quality patient care.

Specific responsibilities include but are not limited to the following.

• Ability working in a multi-disciplined team environment and supporting and contributing to a healthy workplace that embraces diversity and encourages collaborative teamwork.
• Demonstrated qualities in positively influencing teams, processes, and practice improvement in a health service environment.
• Demonstrated ability to respond to and prioritise competing demands within required timeframes, while maintaining high professional standards and delivering work efficiently and accurately.

Specific responsibilities include, but are not limited to, the following.

Essential

• Be registered (or be eligible for registration) as a Nurse with the Australian Health Practitioner Regulation Agency (AHPRA).

Desirable

• Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.

Specific responsibilities include, but are not limited to, the following.

Essential

• Minimum 4 years working professionally in health services (broad acute experience preferred

Desirable

• Practical knowledge of clinical documentation and its impact on coded data quality, activity-based funding, hospital performance, and hospital-acquired complications.

Appointment to this position is conditional on being granted and retaining appropriate clearances.

• Pre-employment National Police Check.

All employees are required to:

• adhere to the Canberra Health Services Values and the ACT Public Service Code of Conduct
• act in accordance and comply with all relevant Safety and Quality policies and procedures.

CHS is leading the drive to digitally transform health service delivery in Australia through the implementation of a territory wide Digital Health Record. Computer literacy skills are required which are relevant to this role as you will be responsible for completing required documentation and becoming a proficient user of the Digital Health Record and/or other Information Technology systems; once proficient, you will need to remain current with changes, updates, and contingencies.

These are the key selection criteria for how you will be assessed in conjunction with your resumé and experience.

1. Demonstrated extensive clinical experience in an acute hospital.
2. Highly developed written, verbal and interpersonal communication skills, including the ability to communicate with influence, and a capacity to liaise and negotiate with a wide range of stakeholders.
3. Demonstrated ability to prepare and deliver high level presentations, educational workshops, and written reports.
4. Proven ability to lead and implement change in the workplace.
5. Demonstrated ability to monitor and interpret health data for the purpose of analysis, planning and evaluation.
6. Demonstrates understanding of, and adherence to, safety and quality standards, work, health and safety (WH&S) and the positive patient experience. Displays behavior consistent with CHS’s values of reliable, progressive, respectful and kind.

The following work environment description outlines the inherent requirements of the role and indicates how frequently each of these requirements would need to be performed. Please note that the ACT Public Service is committed to providing reasonable adjustments and ensuring all individuals have equal opportunities in the workplace.

Manual handling	Frequency
Lifting 0 – 9kg	Never
Lifting 10 – 15kg	Never
Lifting 16kg+	Never
Climbing	Never
Running	Never
Reaching	Never
Kneeling	Never
Foot and leg movement	Never
Hand, arm and grasping movements	Occasionally
Bending/squatting	Never
Bend/Lean Forward from Waist/Trunk twisting	Never
Push/pull	Never
Sequential repetitive movements in a short amount of time	Frequently