Clinical Doc Specialist Level II
4 weeks ago
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.
Work Shifts
8:00 A.M - 4:00 P.M
Job Description
PURPOSE OF POSITION
Under the direction of the Director of Clinical Documentation, Director of Health Information
Management Or a designee for revenue management and recovery, facilitates and obtains appropriate physician documentation for clinical conditions or procedures to support the appropriate severity of Illness, expected risk of mortality, and complexity of patient care and to optimize reimbursement, ensuring patient-centered quality care, optimal utilization of resources, service delivery and compliance with NYC Health + Hospitals, hospital, and all relevant regulatory policies, procedures, and standards of care for better outcomes and improved patient experience. Demonstrates effective communication, planning, and organizational skills and keeps current knowledge in the clinical documentation field and of all applicable regulations. There are two (2) Assignment Levels within this class of positions; all personnel perform related work and may perform tasks remotely, as authorized.
ASSIGNMENT LEVEL I l
Under general supervision, coordinates and supports the daily activities and services in an assigned department(s), unit(s) or area of service. In addition to performing the duties of Assignment Level I at a more difficult and responsible level, also performs the following:
Examples of Typical Tasks:
1. Contributes to the strategic planning and process improvement initiatives and activities related to clinical documentation, by providing expert-level review and assessment, and effective recommendations or solutions for improvement.
2. Assists in the development of policies, procedures, and guidelines, or a review and/or revision of existing ones, to support best practices for clinical documentation program and staff and ensures all compliance and regulatory standards are met.
3. Serves as lead Clinical Documentation Specialist, providing guidance to other Clinical Documentation Specialists and handles more difficult cases.
4. Acts as a liaison and key resource for medical and other staff on interpretation and application of clinical documentation, ethical reporting and documentation standards and other related actions and matters. Actively monitors clinical documentation requests and responds to questions submitted and provides complete follow-through on alf requests for clarification.
5. Provides direction, training, and education to reporting and other assigned staff on performance of duties. Supervises accuracy and timeliness of work, work processes, and overall workload responsibilities.
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) issued by 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.
For Appointment to Assignment Level II:
1.Two (2) additional years of experience in Level I or two (2) additional years of experience performing the tasks as identified above for Level I.
2.Holds and maintains a Certified Clinical Documentation Specialist (CCDS) Certification issued by the Association of Clinical Documentation Improvement Specialists (ACDIS).
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
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