Lead Clinical Documentation Coordinator/GME - Valley Hospital (Full-Time)
UHS
Summary
Under the supervision of the Regional Manager CDI, manages day-to-day workflow, specifically the operations of the Clinical Documentation Integrity Program for GME and medical staff education.
Job description
Responsible for providing 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 determined both 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
- Associate's degree in nursing or graduate of a domestic/international school of medicine
- For Registered Nurse: minimum of two (2) years of clinical experience in an acute care setting
- Minimum of 1-year previous clinical documentation integrity experience
- Knowledge of the Prospective Payment System and Diagnosis Related Group selection, assignment and optimization
- If Registered Nurse, current RN license in their state of residence
- Computer proficiency to include word processing, databases, and spreadsheets
- Basic competence in use of electronic health records and other CDI/Coding software applications
- Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
- Knowledge of age-specific needs and elements of disease processes and related procedures
- Working knowledge of inpatient admission criteria
- Medicare reimbursement system and coding systems
- Excellent written and verbal communication skills
- Critical thinking skills
- Ability to work independently in a time-oriented environment
Benefits
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- Career Opportunities
- Education & Training Center
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.