Clinical Documentation Specialist

Lifepoint Health • Lake Havasu, AZ

1d • Onsite

About The Position

Havasu Regional Medical Center, part of Lifepoint Health, is seeking a Clinical Documentation Specialist to support accurate, complete, and high-quality clinical documentation. The role applies clinical knowledge, critical thinking, and attention to detail to ensure that each patient’s medical record accurately reflects the care provided. The specialist collaborates with providers and the care team and contributes to documentation quality and facility performance initiatives.

The position is based at Havasu Regional Medical Center, a 152-bed, Joint Commission-accredited, Medicare-certified hospital serving the Lake Havasu City community. It is suited to an experienced RN or qualified health information or coding professional seeking to apply their expertise beyond the bedside.

Requirements

• Three years of clinical work experience.
• For RN candidates, a current RN license to practice in Arizona.
• Associate’s Degree in Nursing required for RN candidates.
• BCLS certification.

Nice To Haves

• Bachelor’s Degree in Nursing preferred for RN candidates.
• Registered Health Information Technician (RHIT) certification preferred.
• Registered Health Information Administrator (RHIA) certification preferred.
• Certified Coding Specialist–Physician-based (CCS-P) certification preferred.
• Certified Coding Specialist (CCS) certification preferred.

Responsibilities

• Conduct daily concurrent reviews of medical records to identify missing, vague, or incomplete diagnoses and procedures.
• Conduct timely follow-up reviews to confirm providers have answered documentation issues and queries.
• Query physicians about the specificity of procedures and diagnoses using accepted coding guidelines, clinical expertise, and LifePoint Health query policy.
• Participate in department and facility quality and performance initiatives.
• Maintain an education record that meets minimum corporate continuing education unit requirements.
• Maintain a clean workstation and follow safety regulations, the Code of Conduct, ethics, and customer service expectations.
• Attend hospital training and departmental staff meetings.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision benefits for full-time employees.
• 401(k) benefits for full-time employees.
• Competitive paid time off and Extended Illness Bank package for full-time employees.
• Employee Assistance Program offering mental, physical, and financial wellness assistance.
• Tuition reimbursement or assistance for qualified applicants.
• Professional development and growth opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree