NYU Langone Medical Center, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in health care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is comprised of three hospitals - Tisch Hospital, a 705-bed acute-care tertiary facility, the Rusk Institute of Rehabilitation Medicine, the world's first university-affiliated facility devoted entirely to rehabilitation medicine, with 174 beds and extensive outpatient rehabilitation programs, and the 190-bed Hospital for Joint Diseases, one of only five hospitals in the world dedicated to orthopaedics and rheumatology-plus the NYU School of Medicine, one of the nation's preeminent academic institutions which includes the Smilow Research Center, the Skirball Institute of Biomolecular Medicine, and the Sackler Institute of Graduate Biomedical Sciences.
We have an exciting opportunity to join our team as a Clinical Doc Specialist-HIM. Position Summary:
The Clinical Documentation Specialist (CDS) role is a multifaceted role in which the RN applies and transfers clinical knowledge, to ICD9-CM coding documentation requirements in an effort to improve the overall quality and completeness of the medical record resulting in accuracy of in-patient code assignments, legitimate MSDRG assignment/reimbursement, and accurately reflect the level of care provided and clinical complexity of the patient.
Current licensure: as a Professional Registered Nurse in New York State. Minimum of five years direct acute inpatient clinical staff nurse experience required. Competencies: strong clinical skill-set, self directed individual with an ability to work independently with minimal supervision, ability to triage workload to support department goals, Excellence in interpersonal skills, exemplified by: effective communication, negotiation and conflict management skills; creative problem solving and clinical leadership, strong organizational and time management skills This position may require flexibility in role assignment and hours. Knowledge of Microsoft Office and demonstrated proficiency in managing software needed.
BSN preferred. Working knowledge of MSDRG system preferred.
Working Conditions/Physical Demands:
Physical stamina, manual dexterity, visual and aural acuity are required to perform responsibilities. Work environment is on the inpatient clinical units (staffing assignment determined by program needs). Must have the ability to transport necessary equipment to perform reviews, and enhance patient care team rounds.
Facilitates appropriate clinical documentation to support accurate assignment of ICD9-CM codes and Diagnostic Related Groups (DRG).
Assists in the development of education for clinical and non clinical staff.
Serves as a clinical resource for the coding department.
Facilitates communication of various professionals to support organizational goals related to compliance, quality and coding.
Serves as an advocate to L&T professionals with documentation requirements.
Supports the mission, philosophy, standards, goals and objectives of NYU Hospitals Center, and Clinical Documentation Management Program.
Adheres to the general hospital standards, and code of conduct, to promote a cooperative work environment by utilizing communication skills, interpersonal relationships and team building: Following hospital/departmental policies; Contributing to the overall quality of service; Assuming responsibility for keeping informed about changes in Policy and procedure, in addition to CMS and coding regulatory guidelines.
Shares in accountability to the discharge not final billed work que by maintaining established query closeout timelines.
Collaborates to obtain a complete, accurate medical record from a billing and severity Impact.
Participates in departmental, interdisciplinary, hospital and Medical Board committees as appropriate.
Designs/conducts education for internal customers in a variety of ways to improve documentation in the medical record.
Tracks and reports outcomes to appropriate individuals/departments.
Actively participates in ongoing education, and serves as a mentor to new staff.
Maintains current clinical knowledge in area of review and patient population.
Evaluates the medical record from a multi facetted viewpoint, applies and transfers knowledge to necessary departments.
Assumes responsibility to practice according to coding and CMS regulations.
QUALITY & PERFORMANCE OUTCOMES RESPONSIBILITIES
Evaluates data to determine educational opportunities for clinicians and coding staff.
Communicates information documented in the medical record to appropriate personnel when there may be a process improvement or quality concern.
Performs audits as determined by analysis to improve outcomes.
NYU Langone Medical Center provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. And just as our employees invest so much in us, we invest in our employees. We're pleased to have one of the most competitive compensation packages not only among New York's hospitals and healthcare institutions, but within the corporate sector as well. We begin with exceptional medical, dental, and drug coverage. We enhance this basic coverage with comprehensive wellness programs, and supplement those with retirement investment and benefits plans, and generous paid time off allowances. Add to that a very attractive tuition program, and you'll see just some of the ways that NYU Langone Medical Center demonstrates our commitment to our employees. NYU Langone Medical Center is an equal employment/affirmative action employer and does not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, marital/or parental status, age, national origin, citizenship, disability, veterans status, or any other classification protected by applicable Federal, State, or Municipal Law. We require applications to be completed online.
NYU Langone Medical Center - 17 months ago
NYU Langone Medical Center, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for...