$66,052 annually. Includes a comprehensive benefits package.
Description of Duties:
The Clinical Documentation Improvement Specialist will review, abstract and analyze both inpatient and outpatient health records to ensure the documentation effectively reflects the severity of illness, co-morbidities, risk of mortality, and quality health measures set forth by CMS. They also collaborate with physicians, nurses, allied health practitioners, Case Management, and Coding Department to ensure accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes. The Clinical Documentation Improvement Specialist also must utilize strong communication skills.
Applicants must have a License to practice as a Registered Nurse in the State of New York. They must also have graduation from an accredited school of nursing and the equivalent of four years of full-time nursing experience. The preferred candidate will be a Certified Clinical Documentation Specialist (CCDS) or a Certified Documentation Improvement Practitioner (CDIP). They will also have coding credentials, including Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Registered Health Information Technician (RHIT). They will have a working knowledge of ICD-10CM, ICD-10 PCS, CPT and HCPCS Code set, MS-DRG, and APR-DRG, familiarity of CMS federal, state and private payer regulations, and will be proficient in computer use, including database and spreadsheet analysis. They will have experience working within Electronic Medical Record and will have clinical understanding of severity of illness, risk of mortality, co-morbidities and case mix index. Incumbents must obtain and maintain Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS) or related certification within thirty months of appointment to this title as a condition of continued employment. Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at email@example.com.
Applicants must reference the Posting # when applying for this position.
Interested applicants may apply by uploading a cover letter and resume below in Microsoft Word or PDF format.