Clinical Documentation Coordinator CDI ROC FT

South Texas Health System; City of Edinburgh; On-site; GBP 40,000 - 70,000; Full time

Job summary

Ein etabliertes Unternehmen im Gesundheitswesen sucht einen engagierten Fachmann, der die Qualität klinischer Dokumentation verbessert und die Zusammenarbeit zwischen medizinischen Fachkräften fördert. In dieser Rolle sind Sie verantwortlich für die Sicherstellung der Genauigkeit und Vollständigkeit klinischer Informationen, die für die Berichterstattung von Patientenergebnissen entscheidend sind. Sie werden die Teammitglieder kontinuierlich schulen und für eine ordnungsgemäße Dokumentation und Abrechnung eintreten. Diese Position bietet die Möglichkeit, in einem dynamischen Umfeld zu arbeiten, das sich der Verbesserung der Patientenversorgung und der Einhaltung von Vorschriften widmet.

Qualifications

• Mindestens 3-5 Jahre klinische Erfahrung in einem Akutpflege- oder direkten Patientenversorgung.
• Kenntnisse über alterspezifische Bedürfnisse und Krankheitsprozesse erforderlich.

Responsibilities

• Verbesserung der Qualität und Vollständigkeit der klinischen Dokumentation.
• Unterstützung der Genauigkeit klinischer Informationen zur Berichterstattung.

Skills

Kommunikationsfähigkeiten

Kritisches Denken

Detailorientierung

Klinisches Wissen

Computerkenntnisse

Education

Associate Degree in Nursing

Bachelor's Degree in Healthcare

Master's Degree in Healthcare

Job description

Responsibilities

POSITION SUMMARY:

Responsible for improving the overall quality and completeness of clinical documentation. Promotes a partnership between the concurrent clinical reviewers, medical record coders, and physicians to enhance documentation and reimbursement for STHS. Facilitates clarification and specificity in clinical documentation through appropriate interaction with physicians, advocating for proper reimbursement. Supports the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes, reflecting the patient’s true severity of illness, intensity of care, and risk of mortality. Educates all members of the healthcare team on an ongoing basis.

Qualifications

• Excellent written and verbal communication skills required.
• Excellent critical thinking skills required and must be detail-oriented.
• Knowledge of age-specific needs and elements of disease processes and related procedures required. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
• Ability to work independently in a time-oriented environment is essential.
• Working knowledge of Medicare reimbursement system and coding structures preferred but not required.
• Computer literacy essential.
• Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training, and immediately reporting suspected compliance issues to the Compliance Officer.

Education / Licensure

• Associate, Bachelor, or Master’s Degree in Nursing or Healthcare Related Field; Advanced degree such as International MD degree acceptable.
• Minimum of 3-5 years clinical experience in an acute care or direct patient care setting; Critical Care, Medical/Surgical, or Emergency Department nursing preferred.
• Must be able to travel between facilities as needed.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and support the recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by law.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and its subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillsets and experience with the best career path. We pride ourselves on creating an efficient and top-tier candidate experience. During recruitment, no recruiter or employee will request financial or personal information via email. Be cautious of suspicious job postings or emails. Report concerns at: https://uhs.alertline.com or call 1-800-852-3449.

Authorized by

Corporate Human Resources