Clinical Documentation Coordinator - FT - Texoma - ROC

Universal Health Services; Edinburg (TX); On-site; USD 80,000 - 110,000; Full time

Job summary

Universal Health Services, Inc. is seeking a Clinical Documentation Improvement professional to drive the accuracy and completeness of clinical documentation across facilities.

The role focuses on partnering with reviewers, coders, and physicians to optimize documentation and appropriate reimbursement. The position involves educating the care team and ensuring the documentation reflects true severity of illness and risk of mortality, with travel between facilities as needed.

Qualifications

• Excellent written and verbal communication skills.
• Strong critical thinking and high attention to detail.
• Broad clinical knowledge of pathology/physiology; age-specific care.
• Ability to work independently in a fast-paced environment.
• Familiarity with Medicare reimbursement and coding structures preferred.
• Computer literacy and proficient use of health information systems.
• Commitment to compliance and Code of Conduct; report issues promptly.

Responsibilities

• Improve the overall quality and completeness of clinical documentation.
• Promote partnership between reviewers, coders, and physicians to improve documentation and reimbursement.
• Clarify and specify clinical documentation through interaction with physicians; advocate for appropriate reimbursement.
• Support accuracy of clinical information used for measuring hospital outcomes; reflect severity of illness and intensity of care.
• Educate health care team on an ongoing basis.

Skills

Written communication

Critical thinking

Clinical knowledge

Independence

Medicare knowledge

Computer literacy

Compliance

Education

Associate/Bachelor/Master in Nursing or Healthcare

Advanced degree acceptable

Willingness to travel between facilities

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 improve documentation and reimbursement for STHS. 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.

Qualifications

QUALIFICATIONS:

• 1. Excellent written and verbal communication skills required.
• 2. Excellent critical thinking skills required and must be detail oriented.
• 3. Knowledge of age-specific needs and elements of disease process and related procedures required. Strong broad based clinical knowledge and understanding of pathology/physiology of disease processes.
• 4. Ability to work independently in a time-oriented environment is essential.
• 5. Working knowledge of Medicare reimbursement system and coding structures preferred, by not required.
• 6. Computer literacy essential.
• 7. 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 issue(s) to the Compliance Officer.

Education / Licensure

• 1. Associate, Bachelor or Master's Degree in Nursing or Healthcare Related Field; Advanced degree such as International MD degree acceptable.
• 2. 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.
• 3. 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 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.