CLINICAL DOCUMENTATION COORD

Universal Health Services; Wellington, Northern (FL, KY); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Challenging and rewarding work envt.

Competitive Compensation & Generous PT

Excellent Medical, Dental, Vision and药

Job summary

Wellington Regional Medical Center in Wellington, FL is seeking a CDI professional to lead documentation improvement efforts. This role collaborates with clinicians and coders to enhance accuracy and reimbursement, and to reflect patient severity and outcomes accurately.

The ideal candidate will have CDI certifications or be pursuing them, plus advanced clinical credentials (RN/MD) and several years in acute care CDI.

Qualifications

• Promotes a partnership between concurrent clinical reviewers, medical record coders, and physicians to improve documentation and reimbursement.
• Educates all members of the health care team on an ongoing basis.
• Supports the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes.

Responsibilities

• Assumes responsibility and accountability for improving the overall quality and completeness of clinical documentation.
• Facilitates clarification and specificity to clinical documentation through interaction with physicians to ensure appropriate reimbursement.
• Ensures documentation reflects the patient’s true severity of illness, intensity of care, and risk of mortality.

Education

MD/MBBS

RHIA/RHIT, CCS

CDI certifications (CCDS/CDIP) or within 1 year

Job description

Responsibilities

This opportunity is full-time at 40 hours per week, offers full benefits and a convenient day shift schedule.

Wellington Regional Medical Center is located in Wellington, Florida. It is a 235-bed, acute care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected healthcare management organization.
Wellington Regional is proud to have provided high quality healthcare services to the residents of Palm Beach County since 1986. As a community hospital, accredited by The Joint Commission, Wellington Regional prides itself on its continued commitment to remain on the forefront of advanced technologies and expand programs and services to meet the needs of the growing community it serves. We promote an environment that fosters compassion, teamwork, innovation and opportunities for professional growth. Our mission is supported by our commitment to fair and ethical treatment for all.

Service excellence is a part of all we do at Wellington Regional Medical Center. Our team is guided and held accountable by the following core standards:

• Treat everyone as a guest by making a good first impression, anticipating needs and displaying service recovery skills.


• Demonstrate professionalism and excellence by looking professional, taking responsibility for our actions and delivering excellence in our everyday work.


• Practice teamwork by actively participating in decision-making and process improvement, communicating effectively and focusing on the problem/issue, not the person.

If our core standards inspire you, Wellington Regional Medical Center is a place where your career can grow.

Here, safety is more than a priority—it’s our guiding value, and we’re committed to achieving zero preventable harm. We do what’s right, learn from every experience, and create a supportive environment where every team member can thrive.

Join us and become part of a community committed to excellence where caring for one another is at the heart of everything we do.

To learn more visit Welcome to Wellington Regional Medical Center | Wellington, FL

Job Requirements

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

As a Wellington Regional Medical Center employee, you will be part of a first-class organization offering:

• Challenging and rewarding work environment


• Competitive Compensation & Generous Paid Time Off


• Excellent Medical, Dental, Vision and Prescription Drug Plans


• 401(K) with company match and discounted stock plan


• Educational Assistance


• SoFi Student Loan Refinancing Program


• Career development opportunities across UHS and its 300+ locations!


• HealthStream online learning catalogue with plenty of free CEU courses

What do our current employees value at Wellington Regional Medical Center & UHS?

A safe and supportive environment that puts patient care first. One of the most rewarding aspects of working at Wellington Regional Medical Center is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of employees and leaders who routinely exchange ideas, and review current topics within the industry. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, you have a voice.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

Qualifications

• RN (current license as a Registered Nurse)


• MD/MBBS


• RHIA/RHIT, CCS


• Current certification(s) for CDI, (CCDS, CDIP) or obtain within a year.


• Minimum of 2 years of experience as a CDI in an acute care setting, (If RN, Critical Care, Medical/Surgical or Emergency department nursing preferred).

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 as such, openly support and fully commit to 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 federal, state or local laws.