Clinical Documentation Specialist – Acute Care Compliance

Clive Behavioral; Las Vegas (NV); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Comprehensive education and training

Competitive compensation & generous PT

Excellent medical, dental, vision

401(k) with company match

Career opportunities within VHS/UHS

Challenging and rewarding work

Job summary

Valley Health System seeks a qualified RN with acute care experience to perform concurrent and retrospective reviews of inpatient medical records, ensuring accurate documentation and appropriate reimbursement.

Minimum five years in acute care, with strong written/verbal communication and critical thinking. Work environment emphasizes quality outcomes and regulatory/com payer requirements.

Qualifications

• Associates or Bachelors Degree in Nursing or International Medical Graduate.
• Minimum of five years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred.
• Excellent written and verbal communication skills and critical thinking abilities; able to work independently in a time-oriented environment.

Responsibilities

• Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services.
• Facilitates appropriate physician documentation to accurately reflect patient severity of illness and risk of mortality; supports reporting of quality outcomes and reimbursement accuracy.

Skills

RN license

Acute care experience

Critical thinking

Documentation

Communication skills

Education

Associates or Bachelor's in Nursing

International Medical Graduate

Tools

Word processing

Databases

Spreadsheets

Job description

Valley Health System seeks a qualified RN with acute care experience to perform concurrent and retrospective reviews of inpatient medical records, ensuring accurate documentation and appropriate reimbursement.

Minimum five years in acute care, with strong written/verbal communication and critical thinking. Work environment emphasizes quality outcomes and regulatory/com payer requirements.