Clinical Documentation Specialist

Havasu Regional Medical Center; Lake Havasu City (AZ); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health (Medical, Dental, Vision)

401K Benefits

Paid Time Off / Extended Illness Bank

Employee Assistance Program

Tuition Reimbursement/Assistance

Professional Development and Growth

Job summary

Havasu Regional Medical Center in Lake Havasu City is seeking a Clinical Documentation Specialist with RN background to enhance accuracy of patient records and support coding quality within Lifepoint Health.

The role collaborates with care teams to ensure complete, precise documentation and compliance. Ideal candidates may hold RHIA/RHIT or CCS certifications; ASN/BSN preferred. This on-site role offers benefits and growth in a 152-bed community hospital.

Qualifications

• RN with AZ license or eligibility
• Associate's Degree in Nursing required; Bachelor's preferred
• RHIT/RHIA/CCS-P/CCS certifications preferred

Responsibilities

• Facilitates improvement in overall quality, completeness, and accuracy of clinical documentation
• Conducts daily concurrent reviews of medical records to identify missing or vague diagnoses and procedures
• Queries physicians on specificity of procedures and diagnoses based on coding guidelines and LifePoint Health policies
• Participates in Quality and Performance initiatives and education activities
• Maintains records to meet corporate CEU requirements
• Attends training and staff meetings; adheres to safety and ethics policies
• Performs other duties as assigned

Skills

Clinical documentation knowledge

Attention to detail

Critical thinking

Communication with physicians

Team collaboration

Education

Associate's Degree in Nursing

Bachelor’s Degree in Nursing

RHIT

RHIA

CCS-P

CCS

Job description

Havasu Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN) - Clinical Documentation Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More About Our Team

Join Havasu Regional Medical Center as an Clinical Documentation Specialist and bring your clinical knowledge, critical thinking, and attention to detail to a role that helps ensure every patient's story is accurately reflected in the medical record. As a 152-bed, Joint Commission-accredited, Medicare-certified hospital, Havasu Regional combines compassionate hometown care with advanced medical technology while serving the Lake Havasu City community as a regional healthcare provider.

This is an exciting opportunity for an experienced RN, RHIA, RHIT, CCS-P, or CCS ready to expand their impact beyond the bedside. Collaborate across the care team, apply your clinical expertise to documentation quality, and contribute to an organization centered on delivering exceptional care to the community.

Why Choose Us

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program - mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• Professional Development and Growth Opportunities
• And much more...

Position Summary

The Clinical Documentation Improvement Specialist facilitates improvement in overall quality, completeness, and accuracy of clinical documentation.

Essential Functions

• Conducts daily concurrent reviews of medical records to identify missing, vague and/or incomplete diagnoses and procedures.
• Conducts timely follow up reviews of clinical documentation to ensure that issues discussed and issued queries have been answered by providers.
• Queries physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise and LifePoint Health query policy.
• Participates in department and facility Quality and Performance initiatives.
• Maintains education record with meets minimum corporate CEU requirements.
• Maintains clean work station, follows all safety regulations, Code of Conduct and ethics, customer service, and attends hospital training and departmental staff meetings.
• Other duties as assigned.

Minimum Qualifications

• If an RN, current RN to practice in the state of (AZ)
• Associate's Degree in Nursing Required; Bachelor’s Degree in Nursing Preferred
• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist - Physician-base (CCS-P), Certified Coding Specialist (CCS) Preferred.
• Certifications: BCLS
• Three years of clinical work experience Required.

EEOC Statement

Havasu Regional Medical Center is an Equal Opportunity Employer. Havasu Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.