CLINICAL DOCUMENTATION COORD -HENDERSON HOSPITAL (FULL-TIME)
About The Position
Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services.
Requirements
- Associates or Bachelors Degree in Nursing or International Medical Graduate
- Minimum of five (5) years of clinical experience in an acute care setting
- Computer proficiency to include word processing, databases, and spreadsheets
- Familiarity with the operation of basic office equipment
- Current RN license in the state in which they reside/practice if Registered Nurse
- Knowledge of age-specific needs and elements of disease processes and related procedures
- Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
- Excellent written and verbal communication skills
- Critical thinking skills
- Ability to work independently in a time oriented environment
Nice To Haves
- Clinical experience in critical care, medical/surgical or Emergency Department nursing
- Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems
Responsibilities
- Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services.
- Facilitate appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality.
- Perform specific reviews determined internally and by requirements/requests of external payers or regulatory agencies.
- Play a significant role in reporting quality of care outcomes.
- Play a significant role in obtaining accurate and compliant reimbursement for acute care services.
Benefits
- Comprehensive education and training center
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS Subsidies
- Challenging and rewarding work environment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
501-1,000 employees
