Clinical Documentation Coordinator

Fusion HCR
  • Las Vegas, Nevada
    30+ days ago

    Job Description

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

     

     

    Education/Experience: 

    Option 1: Graduation from an accredited school of nursing and three (3) years of clinical nursing experience and three (3) years clinical documentation improvement experience. 

    Option 2: Physician graduate International MD with three (3) years of acute care experience and three (3) years Clinical Documentation Improvement (CDI) experience. 

    Option 3: Equivalent to a Bachelor's degree in Healthcare and three (3) years Health Information Management in an acute care hospital inpatient experience and three (3) years Clinical Documentation Improvement (CDI) experience.

    Licensing/Certification Requirements:

    Option 1: Valid license by the State of Nevada to practice as a Registered Nurse and one of the following, Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O) or Certified Document Improvement Practitioner (CDIP). 

    Option 2: An international medical graduate degree and one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O). 

    Option 3: Certification in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association, Certified Professional Coder (CPC), Certified Professional Coder-Physician-based (CPC-P), AND one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O).



     

     

     

    Knowledge of:
    Medicare reimbursement system and coding structures; hospital policies and procedures; Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, Medicare/Medicaid guidelines and other relevant regulations and standards; clinical medical and nursing procedures; disease processes; department and hospital safety practices and principles; patient rights; age specific patient care practices; infection control policies and practices; department and hospital emergency response policies and procedures.

    Skill in:
    Working effectively under pressure; holding in complete confidence all information acquired from medical records and physicians; interpreting patient charts to determine whether care given was appropriate and properly documented; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; critical thinking; conflict management; dealing with departmental issues involving self or other employees in professional, forthright and impartial manner; applying investigative and interviewing techniques; using a computer and a variety of software applications; communicating with a wide variety and establishing interpersonal relationships to interact effectively with co-workers, supervisor, staff in other work units and exchange or convey information.

    Numbers & Facts

    LocationLas Vegas, Nevada

    Skills

    • Acute Careunmatched
    • Certified Coding Specialist (CCS)unmatched
    • Certified Professional Coder (CPC)unmatched
    • Clinical Nursingunmatched
    • Clinical Study Publicationsunmatched
    • Conflict Resolutionunmatched
    • Diagnosis-Related Group (DRG)unmatched
    • Diseaseunmatched
    • Emergency Responseunmatched
    • Health Information Managementunmatched
    • Healthcareunmatched
    • Hospitalunmatched
    • Infection Controlunmatched
    • Interpersonal Skillsunmatched
    • Interviewing Skillsunmatched
    • Medicaidunmatched
    • Medical Codingunmatched
    • Medical Recordsunmatched
    • Medical Treatmentunmatched
    • Medicareunmatched
    • Meeting Minutesunmatched
    • Nursingunmatched
    • Organizational Skillsunmatched
    • Outpatient Careunmatched
    • Patient Careunmatched
    • People Managementunmatched
    • Registered Health Information Administrator (RHIA)unmatched
    • Registered Health Information Technician (RHIT)unmatched
    • Registered Nurse (RN)unmatched
    • Regulationsunmatched
    • Reimbursementunmatched
    • Reporting Skillsunmatched
    • State Laws and Regulationsunmatched
    • Technical Writingunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder