CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)
On-site · Nevada, United States
Job Summary
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. Reviews are determined internally and by requirements/requests of external payers or regulatory agencies and contribute to reporting quality of care outcomes and obtaining accurate and compliant reimbursement for acute care services.
Required Qualifications
- Education: Associates or Bachelors Degree in Nursing or International Medical Graduate
- Experience: Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred
- License/Certification: Current RN license in the state in which they reside/practice if Registered Nurse
- Knowledge: Understanding of pathology/physiology; inpatient admission criteria; Medicare reimbursement system and coding systems preferred, but not required
- Skills: Excellent written and verbal communication; critical thinking; ability to work independently in a time oriented environment
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