Clinical Documentation Specialist - Level I - MEDICAL RECORDS

Full Time
New York, NY 10029
$103,000 a year
Posted
Job description

About NYC Health + Hospitals

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description

SUMMARY OF DUTIES:

A. Perform concurrent documentation reviews used to establish a working MS-DRG assignment along with appropriate SOI/ROM and case mix indexing, support Core Measures and other Quality Reporting Measures
B. Educate physicians and other staff as needed to foster collaborative working relationships and to provide consistent feedback of final DRG outcomes.
C. Perform follow-up reviews to ensure issues needing clarification have been documented
D. Work closely with coders to assure documentation of discharge diagnoses and
any co-existing co-morbidities to accurately reflect patient's clinical status
E. Utilizing evidence-based query forms used to clarify documentation in a compliant manner.
F. Perform other related duties

Minimum Qualifications

1.Valid New York State license and current registration to practice as a Registered Professional Nurse(RN) issued by the New York State Education Department (NYSED); and Bachelor of Science in Nursing degree from an accredited college or university; and four (4) years of acute care experience;or
2.Valid New York State license and current registration to practice as a Nurse Practitioner (NP) issuedby the NYSED; and two (2) years of experience, as described in “1” above; or
3.Valid New York State license and current registration to practice as a Physician Assistant (PA)issued by the NYSED; and two (2) years of experience, as described in “1” above; or
4.Foreign Medical Graduate; and, two (2) years of medical records review or utilization and case management experience; or
5.Successful completion of education that leads to a medical degree; and two (2) years of experience,as described in “4” above.

Please be advised that proof of Covid-19 vaccination is required prior to hire.

If you wish to apply for this position, please apply online by clicking the "Apply Now" button.

NYC Health and Hospitals offers a competitive benefits package that includes:

  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Loan Forgiveness Programs for eligible employees
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • College tuition discounts and professional development opportunities
  • Multiple employee discounts programs

Job Type: Full-time

Pay: $103,000.00 per year

Schedule:

  • Monday to Friday

Work Location: In person

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