Lead Clinical Documentation Improvement Specialist
4 days ago
**About Telstra Health:**
Telstra Health is a leading provider of healthcare solutions, connecting health information, patients, and providers across Australia, the Middle East, Canada, and the UK.
We are passionate about improving lives through digitally-enabled care, and we're seeking an experienced professional to join our team as a Senior Health Information Manager.
Job Summary:This role will lead the development and delivery of world-class Billing, Administration, Clinical Coding, and Clinical Documentation Improvement processes and systems for our clients. You will provide leadership to develop a highly functioning, highly engaged team in all RCM locations.
Key Accountabilities:- Support the successful implementation and ongoing management of Clinical Documentation and insurance-related workstreams of all RCM Services projects domestically and internationally.
- Create, educate on, and implement work processes that support excellence in Clinical Documentation Improvement and all insurance-related processes including Medical Necessity.
- Business analysis including documenting current & future state business processes, functional and non-functional requirements, user stories, acceptance criteria, Use Cases, requirements traceability, business rules, test planning, and test cases.
- To ensure the ongoing quality of services, assist in developing systems of quality control and reporting that provide continuous feedback on the performance of client and Power Health/Telstra Health staff; operational processes and system performance.
- Assessment and tailor education for Clinical Coders, Clinical Documentation Specialists, client staff as appropriate to RCM.
- Day-to-day management of RCM Clinical Coding and Clinical Documentation Specialist staff.
You will be responsible for creating a highly effective and enjoyable work culture for all staff, recognizing any cultural sensitivities in an international team. Your expertise will help build positive key client relationships and act as a representative of the RCM Leadership team in the absence of more senior personnel.
About You:We are looking for a highly skilled and experienced individual with a Bachelor's/Masters Degree in Health Information Management or a healthcare-related discipline. You should have extensive experience in Clinical Documentation Improvement and insurance processes related to the above functions. Proven stakeholder management skills to build partnerships with internal and external stakeholders in a matrix operating environment are essential.
Your previous experience in change management, end-user training, and go-live support will be beneficial in this role. You should be proficient in MS Word and Excel. Experience in working with Clinical Coding teams is also desirable.
Benefits:- Holding on to good talent is important to us. We support our exceptional people forge career paths internally.
- We offer a free Telstra mobile and plan for eligible employees.
- 30% discount on various Telstra products and services.
- Career break and study assistance.
- Ongoing development through various learning programs.
- A comprehensive employee rewards program.
We are committed to creating an inclusive and supportive environment for all employees, regardless of their background or abilities.
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