Clinical Documentation Leader - CDI & Revenue Integrity

Fusion HCR; Las Vegas (NV); On-site; USD 90,000 - 120,000; Full time

Job summary

A healthcare organization is seeking a Clinical Documentation Manager to enhance documentation accuracy and compliance across acute care services in Las Vegas, NV. The role involves oversight of documentation processes, collaboration with various healthcare teams, and implementation of process improvements. Candidates must have clinical nursing experience or relevant credentials in Health Information Management, along with leadership skills and expertise in coding guidelines. This is a direct hire opportunity with a focus on quality and regulatory standards.

Qualifications

• Graduate of an accredited nursing school or international MD with acute care experience.
• Minimum five years of clinical nursing experience required.
• Three years of Clinical Documentation Improvement (CDI) experience necessary.

Responsibilities

• Drive documentation accuracy and regulatory compliance across acute care services.
• Identify documentation improvement opportunities related to ICD-10 and CMS guidelines.
• Provide oversight of concurrent query processes and support daily CDI operations.

Skills

Team leadership

Data analysis

Critical thinking

Problem-solving

Clinical documentation interpretation

Education

Graduate of an accredited school of nursing or equivalent

Bachelor’s degree in Health Information Management

Tools

ICD-10

Healthcare reimbursement methodologies

Job description

A healthcare organization is seeking a Clinical Documentation Manager to enhance documentation accuracy and compliance across acute care services in Las Vegas, NV. The role involves oversight of documentation processes, collaboration with various healthcare teams, and implementation of process improvements. Candidates must have clinical nursing experience or relevant credentials in Health Information Management, along with leadership skills and expertise in coding guidelines. This is a direct hire opportunity with a focus on quality and regulatory standards.