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Clinical Documentation Coordinator (Remote)
<strong>Salary:</strong> $38.24 - $59.26 Hourly<br><strong>Location :</strong> Las Vegas, NV<br><strong>Job Type:</strong> Full Time<br><strong>Job Number:</strong> 25-CDC.0106<br><strong>Department:</strong> HEALTH INFO MGMT - 8700<br><strong>Opening Date:</strong> 03/21/2025<br><strong>Closing Date:</strong> Continuous<br> <br><strong>Position Summary</strong><br><strong>EMPLOYER-PAID PENSION PLAN (NEVADA PERS)<br>COMPETITIVE SALARY & BENEFITS PACKAGE<br>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 to promote successful medical outcomes for patients.<br> <br>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 we are on our journey to Magnet status.</strong><br><strong>Position Summary:</strong><br>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.<br><strong>Job Requirement</strong><br><strong>Education/Experience: </strong><br><br>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. <br><br>Option 2: Physician graduate International MD with three (3) years of acute care experience and three (3) years Clinical Documentation Improvement (CDI) experience. <br><br>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.<br><br><strong>Licensing/Certification Requirements:</strong><br><br>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). <br><br>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). <br><br>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).<br><strong>Knowledge, Skills, Abilities, and Physical Requirements</strong><br><strong>Knowledge of:</strong><br>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.<br><strong>Skill in:</strong><br>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.<br><br><strong>Physical Requirements and Working Conditions:</strong><br>Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends.<br><br>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.<br>The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: <br><ul> <li><strong>Employer Paid Pension Plan</strong> through Nevada Public Employees' Retirement System "PERS"! <ul> <li>Vesting in the pension plan after 5 years of qualifying employment! </li></ul> <li>Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage <li>Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. <li>Extended Illness Bank (a/k/a Sick Bank) <li>457 Deferred Compensation Plan <li>Comprehensive Group Health Insurance Plan <li>Nevada has no State Income Tax <li>No Social Security (FICA) Deduction</li></ul><br><strong>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 to promote successful medical outcomes for patients. </strong><br><br><b>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 we are on our journey to Magnet status.</b><br><br><strong>THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER</strong><br>01 <br> <br> I understand that I must <b>FULLY complete the application including my education and work experience and that all answers to the experience questions below must be supported by documented work history</b>. Incomplete applications or applications missing relevant work history information (including current UMC employment if applicable) will not be considered. <ul> <li>Yes</li> <li>No</li> </ul> <br>02 <br> <br> What best describes your level of education? <ul> <li>High School</li> <li>Some College</li> <li>Associate's Degree</li> <li>Bachelor's Degree</li> <li>Master's Degree</li> <li>Doctorate Degree</li> <li>None of the Above</li> </ul> <br>03 <br> <br> (HIM Cert) Please check off the certification(s) you currently possess. Please note that you can select more than one. <ul> <li>Certified Coding Specialist (CCS)</li> <li>Certified Professional Coder (CPC)</li> <li>Registered Health Information Administrator (RHIA)</li> <li>Registered Health Information Technician(RHIT)</li> <li>Valid license by the State of Nevada to practice as a Registered Nurse</li> <li>Certified Professional Coder-Physician-based (CPC-P)</li> <li>None of the Above</li> </ul> <br>04 <br> <br> Please select the Certified Documentation Improvement certificate you possess. <b>Select as many as apply.</b> <ul> <li>Certified Clinical Documentation Specialist (CCDS)</li> <li>Certified Clinical Documentation Specialist-Outpatient (CCDS-O)</li> <li>Certified Document Improvement Practitioner (CDIP)</li> <li>None of the Above</li> </ul> <br>05 <br> <br> How many years of Clinical Documentation Improvement (CDI) experience do you have? <ul> <li>No experience</li> <li>Less than 4 years</li> <li>4 to less than 8 years</li> <li>8 to less than 12 years</li> <li>12 years and more</li> </ul> <br>06 <br> <br> Are you currently certified as a Certified Clinical Documentation Specialist (CCDS)? <ul> <li>Yes</li> <li>No</li> </ul> <br>07 <br> <br> Have you worked as a Clinical Documentation Integrity Specialist for at least 2 years? <ul> <li>Yes</li> <li>No</li> </ul> <br>08 <br> <br> This is a remote optional position, and it requires residence in Clark County, NV. Can you fulfill the residence requirement? <ul> <li>Yes</li> <li>No</li> </ul> <br>09 <br> <br> I understand that my answers to the supplemental questions alone will not qualify me for the position. I must document those experience, level of education, and certifications clearly in the application in order to be qualified. <ul> <li>Yes, I understand and will include those experience, level of education, and certifications clearly in the application.</li> </ul> <br>Required Question