Top 21 Clinical documentation specialist Jobs in El Paso Tx

Utilization Specialist - PRN
Rio Vista Behavioral Health —El Paso, TX
- PRN
- CPR Certification
- Nursing
- RN License
Electronic Health Record Specialist
IHMS USA, Inc —El Paso, TX
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Utilization Specialist - FT
Rio Vista Behavioral Health —El Paso, TX
- Full-time
- CPR Certification
- Nursing
- RN License
Per Diem Clinical Research Nurse - Home Visits
Science 37 —El Paso, TX
- $50 - $55 an hour
- Nights as needed
- Nursing
- RN License
- BLS Certification
Clinical Quality Specialist
University Medical Center of El Paso —El Paso, TX
- Full-time
- Spanish
- Nursing
- RN License
Field Clinical Reimbursement Coordinator
Avir Trilogy —El Paso, TX
- Full-time
- Skilled nursing facility
- LVN
- RN License
Quick Apply
4d
Mobile Vascular Access RN
Vellum Health —El Paso, TX
- Full-time
- RN License
- Ability to walk for extended periods
- Mid-level
Quick Apply
Registered Nurse (RN) – Progressive Care Unit (PCU) – El Paso, TX
Desort —El Paso, TX
- $68,000 - $98,000 a year
- Online Application
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Medical Records and Receptionist Bilingual
Southwest Sport and Spine Center, Inc. —El Paso, TX
- $10 - $12 an hour
- Part-time
- Spanish
- HIPAA
- English
- Employee discount
- Opportunities for advancement
Quick Apply
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Travel MedSurg RN Job in Shiprock, New Mexico
GIFTED Healthcare —United States
- $2,845.87 a week
- Overtime
- Nursing
- Patient monitoring
- RN License
- Health insurance
- Dental insurance
Quick Apply
9d

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Health Information Management Specialist
Equitas Health, Inc. —Columbus, OH
Must have reliable transportation and valid Ohio driver’s license. College coursework or vocational/technical training in nursing or another health-related…
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Documentation and Reimbursement Specialist
Nationwide Children's Hospital —Columbus, OH
Five years of experience in related field (physician billing experience), preferred. As required by listed licensure and/or certification requirement.

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clinical documentation specialist jobs near el paso tx

Utilization Specialist - PRN

Rio Vista Behavioral Health -
El Paso, TX

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Job Details

Qualifications

CPR Certification
BLS Certification
High school diploma or GED

Full Job Description

Overview:

PURPOSE STATEMENT:

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.

Responsibilities:

ESSENTIAL FUNCTIONS:

Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Conduct quality reviews for medical necessity and services provided.
Facilitate peer review calls between facility and external organizations.
Initiate and complete the formal appeal process for denied admissions or continued stay.
Assist the admissions department with pre-certifications of care.
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Required Education: High school diploma or equivalent.
Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

Apply Now

Refine Your Search

clinical documentation specialist jobs in el paso tx

Utilization Specialist - PRN

Electronic Health Record Specialist

Utilization Specialist - FT

Per Diem Clinical Research Nurse - Home Visits

Clinical Quality Specialist

Field Clinical Reimbursement Coordinator

Mobile Vascular Access RN

Registered Nurse (RN) – Progressive Care Unit (PCU) – El Paso, TX

Medical Records and Receptionist Bilingual

Staff RN - ECMO Spec / FT, nights

Travel MedSurg RN Job in Shiprock, New Mexico

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