Documentation Improvement Specialist

4 weeks ago


New York, New York, United States NewYork-Presbyterian Hospital Full time
Job Summary

We are seeking a skilled Documentation Improvement Specialist to join our team at NewYork-Presbyterian Hospital. As a key member of our healthcare team, you will be responsible for facilitating improvement of medical record documentation through concurrent and retrospective interventions and interactions with physicians, residents, and other licensed independent practitioners.

Key Responsibilities
  • Develop and implement processes to identify opportunities for documentation improvement
  • Intervene with attending physicians, residents, and physician extenders to facilitate improvement in medical record documentation
  • Provide routine in-services to assigned clinical areas/service lines regarding regulatory documentation requirements
  • Initiate and maintain records and databases to quantify deficits, interventions, and their impact
  • Conduct successful interventions related to documentation improvement and ensure follow-through with all recommendations
Requirements
  • Bachelor's degree in Nursing or related field
  • Registered Nurse, Nurse Practitioner, Occupational Therapist, Physical Therapist, Physician Assistant, or trained Physician background
  • 5 years of recent hospital experience and/or verifiable Documentation Improvement experience
  • Experience in an Electronic Medical Record (EMR) environment
What We Offer

NewYork-Presbyterian Hospital is an equal opportunity employer. We offer a competitive salary range of $101,000-$151,000 annually, as well as comprehensive and competitive benefits that support you and your family in every aspect of life.



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