Certified Clinical Document Specialist (Full Time) - Financial Services
Kingman Regional Medical CenterAbout the role
Unlock your potential for professional development! We are hiring a Clinical Documentation Specialist (Full Time) to join our Financial Services Team!
Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!
Position Purpose
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.
Benefits (Full Time Employees)
We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:
- Exceptional Colleagues
- Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability.
- Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding.
- Health and Well-Being
- Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
- Generous Paid Leave Accruals
- 403b Retirement Plan with Employer Contributions
- Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
- Employee Identity Theft Protection
- On-site daycare exclusive to our employees’ children of all ages
- Career Growth and Development
- Tuition Reimbursement/Scholarships for full-time employees
- As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
- So much more!
Key Responsibilities
· Provides excellent customer service and adheres to the Behavioral Expectations Agreement.
· Provides concurrent review of the clinical documentation in the medical records.
· Queries the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
· Performs a thorough chart review to identify comorbidities/complications, and documents these appropriately on the DRG worksheet.
· Demonstrates an understanding of the importance of and makes an effort to capture all potential secondary diagnoses for profiling purposes.
· Demonstrates creativity and enthusiasm while pursuing the goals of the department and the organization.
· Maintains the ability to be flexible and prioritizes daily responsibilities.
· Collaborates with physicians, physician extender, nurse, case manager/utilization reviewer and medical Records coder to identify principal diagnosis options, secondary diagnoses and procedures, to assign working DRG’s for at least 85% of identified populations.
· Conducts initial and extended-stay concurrent reviews on all selected admissions, and documents findings on DRG worksheet, denoting all key information utilized in the tracking process.
· Identifies need to clarify documentation in records, and utilizes strong communication skills with physician, physician extender, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation.
· Works collaboratively the healthcare team to facilitate documentation within the medical record that supports patient’s severity of illness and risk of mortality.
· Shares findings with identified staff at DRG Assurance meetings.
· Able to identify areas of focus through report analysis. Serves as a resource to physicians and administration regarding issues related to the appropriateness of inpatient DRG assignment.
· Assists in the development of APR/DRG/query response physician reports.
· Maintains complete confidentiality of patient information, in addition to hospital and individual physician practice pattern date.
· Provides information and in-services as necessary to physicians and ancillary staff.
Qualifications
· Knowledge of care delivery documentation systems and related medical record documents.
· Knowledge of age-specific needs and the elements of disease processes and related procedures.
· Strong broad-based clinical knowledge and understanding of pathology/physiology
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