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UH
University Health
Documentation Improvement Coordinator
Career Insights for Clinical Documentation Specialist
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What they do
A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.
$67,278 / year median in Texas
+2% projected growth
Job Description
Documentation Improvement Coordinator University Health - 3.9 San Antonio, TX Job Details Full-time $32.50 - $49.00 an hour 1 day ago Benefits 457(b) Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance Employee discount 403(b) Gym membership Life insurance Pet insurance Qualifications RN License Full Job Description Overview Becoming a Nurse at University Health is a great way to step up and be there for the people of South Texas. They look up to us, and as a Nurse at UH, we'll look to you to help carry out this mission in an environment that has been designated, and redesignated, as a Magnet Health Organization by the American Nurse Credentialing Center (ANCC) for more than a decade. From your first day, you'll be hands on with our patients while gaining valuable experience, earning excellent benefits and making a real impact on people's lives.
Reviews patient accounts through the appropriate review process for accurate and complete documentation of the care of the patient. Queries the provider to ensure that the accurate and complete documentation is recorded in the medical record. Concurrently reviews the documentation of the patients care and queries as appropriate following the
Promotes accurate documentation that reflects the appropriate risk of mortality (ROM) and severity of illness (SOI) resulting in maximum reimbursement. Maintains a strong understanding and knowledge of coding guidelines, ACDIS standards, Epic workflows, and 3M principles.
Full Time Level:
Travel:
Minimal (if any)Salary:
$63K-$96K URL for glassdoor logo needs to be replaced. Glassdoor logo rating needs to be replaced with client rating. The last two numbers "01" should be updated with the client company number. You can find the company number on the reviews page of the company for example TMP's url is https://www.glassdoor.com/Reviews/TMP-Worldwide-Reviews-E247764.htm and the company number for TMP is 247764.In addtion to 'horizontalStarRating' you can change this to 'verticalStarRating' Success Profile What does it take to build a successful Documentation Improvement Coordinator? career at University Health? Take a look the top qualities we're after and see if you have the right mix. Collaborative Compassionate Empathetic Problem-solver Detail-oriented Strong Communicator At University Health, we are strongly committed to quality, compassion and innovation in everything we do here and in our community. This is a great place to be exposed to many different types of patients, procedures and disease processes. Lourdes Tuliao, Acute Care Nurse Learn more about what it means to be a nurse at University Health Benefits We believe in taking care of those who care for our community and provide each of our health care professionals with the benefits they need to thrive in all aspects of their lives. Rewards Learn about our rewards.Healthcare Medical:
Excellent coverage for individuals and families with very low premiums and co-pays, and ZERO co-pays for medications filled at University Health. Dental, vision, pet insurance, flexible and health spending accounts. Paid Time Off (PTO) Generous accrual rates that start on day one. Retirement We offer both a 457(b) and 403(b) deferred compensation programs. Education Reimbursement Including college tuition reimbursement up to $600 per semester, continuing education up to $400 and certification reimbursement. Life and Disability Basic life paid by University Health, with optional plans for life and disability insurance. Health and Wellness Employee discounts, including gym memberships, employee health clinic, healing arts program, community events. Responsibilities Job Type | Day Shift Category | Nursing Job Schedule | Full Time Department | Clinical Documentation Integrity SpecialistsPOSITION SUMMARY/RESPONSIBILITIES
Must be clinically competent in caring for the assigned inpatient population. Must work collaboratively with all members of the healthcare team.Reviews patient accounts through the appropriate review process for accurate and complete documentation of the care of the patient. Queries the provider to ensure that the accurate and complete documentation is recorded in the medical record. Concurrently reviews the documentation of the patients care and queries as appropriate following the
ACDIS/AHIMA
query brief guidelines to ensure complete and accurate documentation of a patient's care during their stay in the hospital.Promotes accurate documentation that reflects the appropriate risk of mortality (ROM) and severity of illness (SOI) resulting in maximum reimbursement. Maintains a strong understanding and knowledge of coding guidelines, ACDIS standards, Epic workflows, and 3M principles.