Yavapai Regional Medical Center

Clinical Documentation Specialist

Job ID
Health Information Mgmt
Job Family
West Campus - Prescott

Job Summary

The Clinical Documentation Improvement Specialist supports the vision of the Total Healing Environment and the values of respect, integrity, accountability, commitment and quality by reviewing inpatient medical records and concurrently evaluating physician clinical documentation to ensure accurate reflection of patient severity of illness and risk of mortality and integrating dynamically with medical staff or other care providers to obtain clarification and specificity in documentation as appropriate to quality of care outcomes and accurate, compliant reimbursement.

Job Qualifications

Preferred Qualifications:

  • Bachelor’s degree in Nursing
  • RHIA or RHIT credential
  • Clinical Documentation Improvement Specialist (CCDIS) certification
  • Commission for Case Manager (CCM) certification
  • Experience with INTERQUAL or Milliman
  • Bilingual English/Spanish
  • Electronic Medical Record (EMR) experience preferred; Cerner strongly preferred

 Required Qualifications:

  • Current, valid Arizona or compact RN state license
  • Three years of experience in acute care hospital or managed care case management or utilization review
  • Knowledge of federal, state and managed care rules and regulations including CMS and AHCCCS
  • Knowledge of ICD-9, ICD10, and MS-DRG, DRGs and medical necessity criteria
  • Current American Heart Association (AHA) BLS for Healthcare Provider certified
  • Excellent interpersonal skills and the ability to effectively communicate verbally and in writing with all levels of the organization and external contacts providing excellent customer service
  • Excellent organizational skills with the ability to prioritize, multitask and handle multiple priorities/tasks simultaneously in a fast paced environment
  • Ability to compose documents in a professional writing style
  • Ability to apply critical thinking, problem solving, and conflict management skills
  • Intermediate computer literacy and proficiency in Microsoft Windows.
  • Intermediate proficiency in MS Office (Outlook, Word, Excel, PowerPoint).

 *Must pass pre-employment screening

Company Overview

Yavapai Regional Medical Center is a not-for-profit, integrated healthcare provider that offers a broad range of inpatient and outpatient services. Our healing network includes two full-service acute care hospitals, primary and specialty care clinics, the YRMC Wellness Center and the YRMC Del E. Webb Outpatient Center. YRMC's unmatched continuum of care covers a 5,500 square mile service area and includes cardiac surgery, neurosurgery, a comprehensive Women's Health Pavilion and Arizona's only Patient Blood Management Program. YRMC has earned numerous awards for quality and has earned national recognition as an exceptional provider of care.

Our Mission
To provide comprehensive, high quality healthcare consistent with our communities' needs.

Our Vision
Creating a "Total Healing Environment" wherein the people of YRMC work in partnership with the patients and their families seeking peace of mind and peace of heart as well as physical cures or comfort because we understand the indivisible relationship that exists between body, mind and the human spirit.

Our Values
Respect: Behaving in a way that honors self and others.
Integrity: Being consistent and honest in word and deed.
Accountability: Following through and being answerable for one's performance.
Commitment: Demonstrating dedication to one's work, personal development, the organization, the Mission and the Vision.
Quality: Providing service excellence.


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