Clinical Documentation Coordinator (Hybrid)

Position Overview

EMPLOYER-PAID PENSION PLAN (NEVADA PERS)
COMPETITIVE SALARY & BENEFITS PACKAGE
*This position may be HYBRID after a 6-month probationary period.

As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District – offering Nevada’s highest level of care. We are home to Nevada's only Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC and are on our journey to Magnet status.

Position Summary: Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications through extensive interactions with physicians, nursing staff, Health Information Management (HIM) coding staff, and other members of the health care team to ensure accurate capture of appropriate reimbursement and clinical severity for patients with a DRG-based payer.

Key Responsibilities

• Improve the overall quality and completeness of clinical documentation.
• Facilitate modifications by collaborating with physicians, nursing staff, and HIM coding staff.

Required Qualifications

• Education/Experience: Must meet one of the following:
  - Accredited nursing degree with 3 years of clinical nursing experience and 3 years in clinical documentation improvement (CDI); or
  - International MD with 3 years of acute care experience and 3 years in CDI; or
  - Bachelor’s degree in Healthcare with 3 years of Health Information Management (HIM) inpatient experience and 3 years in CDI.
• Licensing/Certification Requirements: Possess a valid license or certification as applicable:
  

  - For nurses:

  Valid State of Nevada license with certifications such as Certified Clinical Documentation Specialist (CCDS), CCDS-Outpatient (CCDS-O), or Certified Document Improvement Practitioner (CDIP); or
  

  - For physicians:

  International medical graduate degree with one of CDIP, CCDS, or CCDS-O; or
  

  - For HIM professionals:

  Certification such as Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), or CPC-Physician-based (CPC-P) along with one of CDIP, CCDS, or CCDS-O.
• Knowledge: Familiarity with Medicare reimbursement systems, coding structures, hospital policies and procedures, Joint Commission standards, state regulations, clinical procedures, and safety practices.
• Skills & Physical Requirements: Ability to work effectively under pressure, maintain confidentiality, interpret patient charts and regulatory guidelines, produce technical documents, and analyze quantitative data. Must be able to work in an office setting, remain seated for extended periods, and occasionally lift up to 10 pounds.

Benefits & Perks

• EMPLOYER-PAID PENSION PLAN (NEVADA PERS)
• COMPETITIVE SALARY & BENEFITS PACKAGE
• This position may be HYBRID after a 6-month probationary period.
• Reasonable accommodations are available for individuals with disabilities.