CLINICAL DOCUMENTATION COORD -REMOTE-VALLEY HEALTH SYSTEM (FULL-TIME)

UHS10 months ago
Las Vegas, NV, United States
Remote
Full-time
Junior Level (1-3 years)

Job Description

Position Overview

This role provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services, ensuring that patient severity of illness is accurately captured and compliant reimbursement is achieved. At Valley Health System—an integrated health network serving over two million people in Southern Nevada—you will play a vital role in facilitating precise physician documentation and quality care reporting.

Key Responsibilities

  • Conduct concurrent and retrospective reviews of inpatient medical records.
  • Facilitate accurate physician documentation of care delivered.
  • Evaluate the utilization and documentation of acute care services.
  • Assist in reporting quality of care outcomes and ensuring compliant reimbursement.

Required Qualifications

  • Education: Associates or Bachelor's Degree in Nursing or International Medical Graduate.
  • Experience: Minimum of five (5) years of clinical experience in an acute care setting, with a preference for critical care, medical/surgical, or Emergency Department nursing.
  • Technical Skills: Proficiency in computer applications including word processing, databases, and spreadsheets; familiarity with basic office equipment.
  • License/Certification: Current RN license in the state of practice.

Preferred Qualifications

  • Working knowledge of inpatient admission criteria, Medicare reimbursement system, and coding systems.
  • Excellent written and verbal communication skills along with strong critical thinking abilities.
  • Ability to work independently in a time-oriented environment.

Benefits & Perks

  • 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
  • A challenging and rewarding work environment

Required Skills

Clinical Documentation
Retrospective Review
RN License
Word Processing
Communication
Patient Record Evaluation
Concurrent Review
Healthcare Compliance
Acute Care Nursing
Spreadsheet Proficiency
Database Management
Critical Thinking