Clinical Documentation Coordinator

Valley Health System; Las Vegas (NV); On-site; USD 80,000 - 105,000; Full time

Benefits offered by this job

Education center

Paid time off

Medical, dental, vision plans

401(k) with company match

Career opportunities within VHS and UH

Job summary

Valley Health System is seeking an experienced Registered Nurse to perform concurrent and retrospective reviews of inpatient medical records within an acute care setting, ensuring accurate documentation for severity of illness and risk of mortality.

The role supports external payer and regulatory requirements, aiding in quality of care reporting and compliant reimbursement. Strong communication and independent work are essential.

Qualifications

• Associates or Bachelor's Degree in Nursing or International Medical Graduate.
• Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred.

Responsibilities

• Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate utilization and documentation of acute care services.
• Facilitates appropriate physician documentation of care delivered to reflect patient severity of illness and risk of mortality.
• Reviews are determined internally and by external payers or regulatory agencies and support reporting of quality of care outcomes and reimbursement.

Skills

Clinical experience

Communication skills

Critical thinking

Independent work

Time management

Education

Associates or Bachelor's Degree in Nursing

International Medical Graduate

Tools

Word processing

Databases

Spreadsheets

Job description

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 utilizationand 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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.