Clinical Documentation & Reimbursement Specialist

Talentify; Edinburg (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

UHS is seeking a Clinical Documentation Improvement Specialist to enhance the quality and completeness of clinical documentation. You will promote collaboration among clinicians, coders, and physicians to improve documentation and reimbursement.

The role requires strong communication, critical thinking, and in-depth nursing or healthcare knowledge. You will educate the health care team on documentation standards and ensure accurate data for outcome measurement across facilities.

Qualifications

• Excellent written and verbal communication skills.
• Excellent critical thinking skills required and must be detail oriented.
• 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.
• Ability to work independently in a time-oriented environment is essential.
• Working knowledge of Medicare reimbursement system and coding structures preferred, by not required.
• Computer literacy essential.
• 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.

Responsibilities

• Improve the overall quality and completeness of clinical documentation.
• Promote partnership between clinicians, medical record coders, and physicians to improve documentation and reimbursement.
• Educate all members of the health care team on an ongoing basis.

Skills

Communication

Critical thinking

Clinical knowledge

Independent work

Medicare knowledge

Computer literacy

Compliance awareness

Education

Associate, Bachelor or Master’s Degree in Nursing or Healthcare Related Field

Advanced degree acceptable

International MD degree acceptable

Job description

UHS is seeking a Clinical Documentation Improvement Specialist to enhance the quality and completeness of clinical documentation. You will promote collaboration among clinicians, coders, and physicians to improve documentation and reimbursement.

The role requires strong communication, critical thinking, and in-depth nursing or healthcare knowledge. You will educate the health care team on documentation standards and ensure accurate data for outcome measurement across facilities.