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CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST (CDIS), On-site Only, • •RELOCATION OFFERED • •

CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST (CDIS), On-site Only, • •RELOCATION OFFERED • •

Northern Nevada Medical CenterSparks, NV, US
30+ days ago
Job type
  • Full-time
  • Part-time
Job description

Job Description

Responsibilities

When it comes to choosing a hospital, one thing is clear : quality and convenience count. Northern Nevada Medical Center's tradition of providing quality healthcare in a comfortable, accessible environment means peace of mind for the thousands of patients served by the hospital each year. Northern Nevada Medical Center is a 124-bed acute care hospital located on 23 hillside acres at 2375 E. Prater Way in Sparks, Nevada.

What we at Northern Nevada Medical Center value :

  • Compassion : We treat everyone with kindness and warmth because we genuinely care about every patient, employee and physician like they are family.
  • Empathy : We put ourselves in our patient’s shoes and deliver clinical care with a personalized touch.
  • Teamwork : We foster a caring and friendly work environment to bring the best possible outcomes in our patient’s lives.
  • Quality : We strive to provide excellence in clinical care.
  • Ethics : We conduct our business with the highest ethical and moral standards.
  • Respect : We promise to honor the dignity, individuality and rights of everyone.
  • Service Excellence : We provide personalized and professional service that exceeds the expectations of those we serve.
  • Innovation : We continually invest in technology and process improvements to develop new and better ways of delivering clinical care.
  • RELOCATION OFFERED

This CDIS, Clinical Documentation Improvement Specialist on-site only opportunity is full time @ 40 hours per week, offers full benefits and a convenient flexible schedule.  This individual will provide 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.

Job Duties / Responsibilities :

  • Conducts initial and extended-stay concurrent reviews on all selected admissions, and documents findings within CDIS (electronic review system), denoting all key information (including working DRG and queries) utilized in the tracking process
  • Able to utilize inpatient admission criteria to assign only diagnoses that meet acute care criteria.  In the advent that diagnosis does not meet admission criteria, communicates with Case Management Department to determine the appropriate patient status.

  • Collaborates with physician, physician extender, nurse, case manager / utilization review and HIM coder to identify principal diagnosis options, secondary diagnoses including complications and comorbidities, and procedures, to assign working DRGs for at least 80%-85% of the identified populations
  • Identifies need to clarify documentation in medical records, and utilizes strong communication skills with physician, physician extender, case manager, utilization review, nurse or other healthcare professional, utilizing appropriate tools to capture needed documentation
  • Utilizes monitoring tools to track the progress of the DRG Assurance program, through interpretation of the CDIS tracking reports, monitoring reports and data.  Able to identify areas of focus through report analysis.  Serves as a resource to physicians and Administration regarding issues related to the appropriateness of inpatient DRG assignment.

    Benefits for full and part time employees :

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Tuition Reimbursement / Repayment Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website : benefits.uhsguest.com
  • About Universal Health Services :

    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

    Qualifications

  • Associates or Bachelor's Degree in Nursing Education or International Medical Graduate
  • Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical / surgical or Emergency Department nursing preferred.
  • Prefer CDIS Experience preferred.
  • Current RN license in the State of Nevada.
  • EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Avoid and Report Recruitment Scams

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

    and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

    If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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    Clinical Documentation Specialist • Sparks, NV, US

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