Clinical Documentation Specialist: Acute Care & Reimbursement

The Valley Health System; Henderson (NV); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Education & Training

Competitive Pay & PTO

Health/Dental/Vision & Prescription

401(k) with company match

Career opportunities

Challenging and rewarding work

Job summary

The Valley Health System seeks a seasoned RN to perform concurrent and retrospective review of inpatient records, ensuring accurate documentation of care and compliant reimbursement for acute care services.

Required are a Nursing degree (ASS/Bachelor) or International Medical Graduate status, plus 5 years in an acute care setting. Strong communication, critical thinking, and ability to work independently are essential.

Qualifications

• Associates or Bachelors 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.
• Must possess excellent written and verbal communication skills and critical thinking skills.

Responsibilities

• Provides concurrent and retrospective review of inpatient medical records to evaluate utilization and documentation of acute care services.
• Aims to reflect patient severity of illness and risk of mortality in physician documentation.
• Reviews are performed to meet internal requirements and external payer/regulatory needs and support accurate reimbursement.

Skills

Critical thinking

Documentation

Communication

Interdisciplinary collaboration

Education

Associates or Bachelor’s in Nursing

International Medical Graduate

Tools

Word processing

Databases

Spreadsheets

Job description

The Valley Health System seeks a seasoned RN to perform concurrent and retrospective review of inpatient records, ensuring accurate documentation of care and compliant reimbursement for acute care services.

Required are a Nursing degree (ASS/Bachelor) or International Medical Graduate status, plus 5 years in an acute care setting. Strong communication, critical thinking, and ability to work independently are essential.