Clinical Documentation Coordinator

Clinical Documentation Coordinator
Location: Las Vegas, NV
Employment Type: Full-Time
Work Model: Hybrid after 6-month probationary period

Position Summary

Responsible for improving the accuracy, quality, and completeness of clinical documentation to ensure appropriate reimbursement and accurate reflection of patient acuity. Works collaboratively with physicians, nursing, HIM, and coding teams in a DRG-based inpatient environment.

Benefits

Employer-Paid Pension through Nevada PERS (vested after 5 years)

Health, Dental & Vision Insurance — employee-only coverage under $20 per paycheck

Consolidated Annual Leave (CAL): PTO, holidays (12/year), sick time, and personal leave

Extended Illness (Sick) Bank

457 Deferred Compensation Plan

Comprehensive Group Health Insurance

No Nevada State Income Tax

No Social Security (FICA) deduction

Requirements

Education & Experience (one required):

RN graduate with 3+ years of clinical nursing experience and 3+ years of Clinical Documentation Improvement (CDI) experience

International Medical Graduate with 3+ years of acute care experience and 3+ years of CDI experience

Bachelor’s degree in healthcare-related field with 3+ years of inpatient Health Information Management experience and 3+ years of CDI experience

Licensure/Certification (one pathway required):

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).

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).

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).

Key Responsibilities

Review clinical documentation to identify opportunities for improvement

Collaborate with providers to clarify diagnoses, procedures, and severity of illness

Ensure documentation supports accurate coding, DRG assignment, and reimbursement

Educate clinical staff on documentation best practices and regulatory requirements

Maintain compliance with Medicare, Medicaid, and regulatory guidelines

Physical Requirements

Ability to work in an office or remote setting with prolonged computer use

Ability to lift up to 10 lbs as needed