Clinical Documentation Coordinator
Job Description
Salary: $39.17 - $60.71 HourlyClinical Documentation CoordinatorTHIS POSITION IS NOT REMOTELocation: Las Vegas, NVEmployment Type: Full-TimeWork Model: Hybrid after 6-month probationary periodPosition SummaryWe are seeking a Clinical Documentation Coordinator to support accurate, complete, and compliant clinical documentation within an acute care inpatient setting.The CDI Specialist will collaborate with physicians, nursing staff, coding professionals, and ancillary departments to ensure documentation reflects the severity of illness, risk of mortality, quality metrics, and reimbursement accuracy.This position is open to qualified Registered Nurses, International Medical Graduates (Physicians), and Health Information Management professionalswith required CDI certification.Key ResponsibilitiesConduct concurrent review of inpatient medical records to ensure accurate and complete clinical documentationIdentify documentation opportunities and initiate compliant physician queriesEnsure documentation supports appropriate MS-DRG, APR-DRG, and risk adjustment captureCollaborate with Coding, Case Management, and Quality teamsEducate providers on documentation best practices and regulatory requirementsMonitor and improve key CDI metrics (query rate, response rate, agreement rate, CMI impact)Maintain compliance with CMS and payer guidelinesMinimum QualificationsAll candidates must hold one of the following CDI certifications:Certified Clinical Documentation Specialist (CCDS)Certified Clinical Documentation Specialist-Outpatient (CCDS-O)Certified Document Improvement Practitioner (CDIP)Registered Nurse PathwayEducation & ExperienceGraduate of an accredited school of nursingMinimum 3 years of clinical nursing experienceMinimum 3 years of Clinical Documentation Improvement experienceLicensureActive, unrestricted Nevada Registered Nurse licensePhysician (International Medical Graduate) PathwayEducation & ExperienceInternational Medical Graduate (MD)Minimum 3 years acute care clinical experienceMinimum 3 years CDI experienceHIM / Coding PathwayEducation & ExperienceBachelors degree in Healthcare or related field (or equivalent experience)Minimum 3 years Health Information Management experience in acute inpatient settingMinimum 3 years CDI experienceRequired Coding Certification (one of the following):Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)Certified Professional Coder (CPC)Certified Professional Coder-Physician-based (CPC-P)Why Join Us?Collaborative, team-focused CDI environmentOpportunity to impact quality metrics and patient outcomesCompetitive compensation based on experience and credentialsBenefitsEmployer-Paid Pension through Nevada PERS (vested after 5 years)Health, Dental & Vision Insurance employee-only coverage under $20 per paycheckConsolidated Annual Leave (CAL): PTO, holidays (12/year), sick time, and personal leaveExtended Illness (Sick) Bank457 Deferred Compensation PlanComprehensive Group Health InsuranceNo Nevada State Income TaxNo Social Security (FICA) deduction