CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)

The Valley Health System; Enterprise (NV); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Education and training center

Competitive compensation

Medical, Dental, Vision, Prescription

401(k) with company match

Stock plan discounts

Career opportunities within VHS and UH

Challenging and rewarding work

Job summary

The Valley Health System in Nevada is seeking an experienced RN to perform concurrent and retrospective reviews of inpatient medical records across acute care services. The role focuses on accurate physician documentation reflecting patient severity of illness and risk of mortality, while aligning with payer and regulatory requirements.

Applicants should have at least five years of clinical nursing experience in acute care (critical care, medical-surgical, or emergency department preferred) and

Qualifications

• Education required: Associates or Bachelors in Nursing or International Medical Graduate.
• Clinical experience in acute care is required; critical care, medical/surgical or ED preferred.
• Strong written and verbal communication and basic computer skills.

Responsibilities

• Provides concurrent and retrospective review of inpatient medical records.
• Evaluates utilization and documentation of acute care services.
• Ensures documentation reflects severity of illness and risk of mortality.
• Supports reporting quality outcomes and compliant reimbursement.

Skills

Acute care experience

Critical care

Emergency Department

Education

Associates Degree in Nursing

Bachelor's Degree in Nursing

International Medical Graduate

Tools

Microsoft Word

Databases

Spreadsheets

Job description

Responsibilities

The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital and West Henderson Hospital.

Benefit Highlights:

• Comprehensive education and training center
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career opportunities within VHS and UHS Subsidies
• Challenging and rewarding work environment

Job Description:

Provides 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 both determined 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: Associates or Bachelors Degree in Nursing or International Medical Graduate

Experience: Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred.

Technical Skills: Computer proficiency to include word processing, databases, and spreadsheets. Familiarity with the operation of basic office equipment.

License/Certification: Current RN license in the state in which they reside/practice if Registered Nurse. Other 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. Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems preferred, but not required. Must possess excellent written and verbal communication skills and critical thinking skills. Ability to work independently in a time oriented environment is essential.

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.

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