CLINICAL DOCUMENTATION COORD

UHS•Wellington, FL

19h•Onsite

About The Position

Wellington Regional Medical Center is a 235-bed, acute care hospital located in Wellington, Florida, owned by a subsidiary of Universal Health Services, Inc. Since 1986, it has provided high-quality healthcare services to Palm Beach County residents. As an accredited community hospital, Wellington Regional focuses on advanced technologies and expanding services to meet community needs. The hospital promotes an environment of compassion, teamwork, innovation, and professional growth, guided by core standards of service excellence: treating everyone as a guest, demonstrating professionalism, and practicing teamwork. Safety is a guiding value, with a commitment to zero preventable harm, continuous learning, and a supportive environment for team members. UHS is a large, nationwide network of employees and leaders who exchange ideas and review industry topics, offering robust continuing education, skills diversification, and career advancement opportunities.

Requirements

RN (current license as a Registered Nurse)
MD/MBBS
RHIA/RHIT, CCS
Current certification(s) for CDI, (CCDS, CDIP) or obtain within a year.
Minimum of 2 years of experience as a CDI in an acute care setting
If RN, Critical Care, Medical/Surgical or Emergency department nursing preferred.

Responsibilities

Assumes responsibility and accountability for improving the overall quality and completeness of clinical documentation.
Promotes a partnership between concurrent clinical reviewers, medical record coders, and physicians to improve documentation and reimbursement for WRMC.
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.