CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)

The Valley Health System; Winchester (NV); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Education & training

Competitive compensation & PTO

Medical/Dental/Vision/Prescriptions

401(k) with match

Career opportunities

Challenging work environment

Job summary

The Valley Health System in Southern Nevada is seeking a Registered Nurse with expertise in clinical review to support inpatient services.

You will conduct concurrent and retrospective chart reviews to ensure accurate documentation of illness severity, support appropriate care, and help secure compliant reimbursement.

Applicants should have an RN license and 5+ years of acute care experience; strong communication and analytical skills are essential.

Qualifications

• Associates or Bachelors Degree in Nursing or International Medical Graduate.
• Minimum of five (5) years of clinical experience in an acute care setting.
• Knowledge of Medicare reimbursement system and coding preferred but not required.
• Strong written and verbal communication and critical thinking skills.

Responsibilities

• Perform concurrent and retrospective review of inpatient medical records.
• Evaluate utilization and documentation of acute care services.
• Assist in accurate reflection of severity of illness and risk of mortality.
• Comply with payer/regulatory requirements and report quality outcomes.

Skills

Computer skills

Office equipment

Education

Associates or Bachelors Degree in Nursing or International Medical Graduate

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.