LEAD CLINICAL DOCUMENTATION COORD/GME - VALLEY HOSPITAL (FULL-TIME)

UHS • $80K — $95K *
Las Vegas, NV 89110In-Person
Healthcare
Less than 5 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Associate's degree in nursing; bachelor's preferred or Graduate of a medical school.
  • Minimum of 2 years clinical experience in acute care (strongly preferred in critical care or emergency department).
  • At least 1 year of clinical documentation integrity experience (2-3 years preferred).
  • Knowledge of Prospective Payment System and Diagnosis Related Group principles required.
  • Current RN license if applicable; preferred certifications include CDIP, CCDS, CCS, or ICD-10.

Responsibilities

  • Manage daily workflow of the Clinical Documentation Integrity Program for GME and education.
  • Conduct concurrent and retrospective reviews of inpatient medical records.
  • Facilitate accurate physician documentation to reflect severity of illness and risk of mortality.
  • Ensure compliance with external payer and regulatory agency requirements.
  • Play a key role in reporting quality of care outcomes and reimbursement accuracy.

Benefits

  • Opportunity for professional growth within the Clinical Documentation Integrity field.
  • Engagement in a critical role that directly impacts quality care and reimbursement.
  • Work in a supportive environment under the guidance of a Regional Manager.
  • Chance to enhance coordination between medical staff and documentation accuracy.
Full Job Description
Responsibilities

Job Description: Under the supervision of the Regional Manager CDI manages day-to-day workflow, specifically the operations of the Clinical Documentation Integrity Program for GME and medical staff education.
This position is also responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality. Specific reviews are determined both internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services.

Qualifications

Education: Associate's degree in nursing; bachelor's degree in nursing preferred or a Graduate of a domestic/international school of medicine.

Experience: For Registered Nurse, a minimum of two (2) years of clinical experience in an acute care setting (critical care, surgical or emergency department nursing preferred), and a minimum of 1-year previous clinical documentation integrity experience (2-3 years of previous clinical documentation integrity experience preferred). Knowledge of the Prospective Payment System and Diagnosis Related Group selection, assignment and optimization are required.
For Domestic/International Medical Graduate: A minimum of 1-year previous clinical documentation integrity experience (2-3 years of previous clinical documentation integrity experience preferred). Knowledge of the Prospective Payment System and Diagnosis Related Group selection, assignment and optimization are required. Minimum of 1-year management experience strongly preferred but not required.

Technical Skills: Computer proficiency to include word processing, databases, and spreadsheets. Familiarity with the operation of basic office equipment. Basic competence in use of electronic health records and other CDI/Coding software applications.
License/Certification: If Registered Nurse, current RN license in their state of residence.
Preferred certifications: CDIP, CCDS, CCS and/or ICD-10 Certification or Trainer designation.

Other: Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes. Knowledge of age-specific needs and elements of disease processes and related procedures required. Working knowledge of inpatient admission criteria.

Medicare reimbursement system and coding systems required. Must possess excellent written and verbal communication skills and critical thinking skills. Ability to work independently in a time-oriented environment is essential.

About UHS

UHS Careers

Joining UHS presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to making a difference. UHS, known for its commitment to innovation and leadership in the healthcare sector, offers a variety of job opportunities that cater to a diverse range of skills and experiences.

Explore Job Opportunities

UHS is actively hiring and offers a wide array of positions, from clinical roles to administrative support. Each position at UHS is designed to challenge team members while providing meaningful service to the community. Explore the current job openings and find a career path that suits professional aspirations and skills.

Internship Programs

UHS provides robust internship programs that offer hands-on experience in the healthcare industry. Internships are a cornerstone of professional development, giving participants a chance to deepen practical skills in a real-world setting. These programs are tailored to foster growth and prepare interns for a full-time position within the company.

Professional Growth and Development

UHS believes in nurturing the career growth of its team members through comprehensive professional development programs. These include leadership training, diversity training, and continuous education in the latest healthcare practices, ensuring that every team member has the opportunity to advance their career.

Benefits and Culture

Employment at UHS comes with competitive benefits designed to support the health, well-being, and financial security of each team member and their families. The company culture at UHS is built on a foundation of respect and inclusion, where diversity is celebrated and every voice is heard.

Networking and Innovation

UHS encourages a culture of innovation where team members are motivated to bring forward ideas that drive improvement and efficiency. Networking within the company is supported through various events and internal platforms, helping team members to connect, share insights, and collaborate on projects.

Applying for a Position

To apply for a position at UHS, candidates should prepare their resume to highlight relevant experience and skills. The interview process at UHS is thorough, aiming to assess not only the professional qualifications but also the alignment with the company’s values and culture. Interested candidates can visit the UHS Careers page to submit an application and learn more about the hiring process.

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Hospitals & Medical Centers
* Ladders Estimates

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