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Clinical Documentation Improvement Specialist (FT-varied)Consolidated

Universal Health Services


Location:
LAS VEGAS, NV
Date:
09/18/2017
2017-09-182017-10-18
Job Code:
234861
Categories:
  • Healthcare
  • Insurance
  • Clinical Specialist
  • Emergency Department
  • ICU / CCU
  • OR / PACU
  • Risk Mgmt / UR / QA
  • Nurse Practitioner
Universal Health Services
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Job Details





Clinical Documentation Improvement Specialist (FT-varied)Consolidated

Job Code:  234861
Facility: VHS Consolidated
Location: LAS VEGAS, NV US
Region:
Travel Involved: None
Job Type: Full Time
Job Level: 
Minimum Education Required: Associate Degree 
Skills: Health Care -> RN
 
Category: Professionals
FTE: 1.0
Position Summary:
Description/Purpose of 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
Description/Purpose of 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.

Minimum Qualifications

Education:
Associates or Bachelor's Degree in Nursing or Health Information Management

Experience:
Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred. Or, minimum of five (5) years of coding experience in an acute care setting.

Technical Skills:
Computer proficiency to include word processing, databases, and spreadsheets. Familiarity with the operation of basic office equipment.

License/Certification:
Current RN license in the State of Nevada, or licensed RHIT or RHIA with CCS credential.

Other:
Knowledge of age-specific needs and elements of disease processes and related procedures required. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes. Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems preferred, but not required. Must possess excellent written and verbal communication skills and critical thinking skills. Ability to work independently in a time oriented environment is essential.


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