Clinical Documentation Improvement Specialist (CDIS) - RN, NP, PA (Hybrid)

THE BEST CAREERS. RIGHT HERE

@ BROOKLYN’S LEADING HEALTHCARE SYSTEM

MAIMONIDES: TOP TEN IN THE U.S. FOR CLINICAL OUTCOMES

We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and more than 80 community-based practices and outpatient centers. The system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children’s Hospital, Brooklyn’s only children’s hospital and only pediatric trauma center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.

Maimonides Medical Center is at the forefront of innovation in medical science & is seeking well qualified Clinical Documentation Improvement Specialists (CDIS) to:

• Perform thorough, methodical chart reviews according to department review process.
• Comprehensively review all physician and clinical documentation to identify potential opportunities for documentation improvement.
• Compose clinical documentation queries that are compliant with CMS and AHIMA guidelines.
• Communicate effectively with physicians and other members of the interdisciplinary team to establish appropriate levels of severity of illness and risk of mortality, and to clarify accurate documentation of principal diagnosis, co-morbid conditions, complications and procedures in the medical record.
• Assist in developing educational tools for clinical and non-clinical staff.
• Collaborate with the coding staff to ensure accuracy of documentation and coding that are compliant with State and Federal requirements and standards.
• Work both in office and remotely as a hybrid position.

We require:

• Registered Professional Nurse with Bachelor of Science in Nursing (BSN) preferred.
• Or Bachelor’s Degree preferred with minimum 4 years acute care clinical experience,
• Or Licensed Nurse Practitioner, Physician’s Assistant with acute car clinical experience,
• Or MD with ECFMG qualified or equivalent,
• Or other professional with clinical background and 4 years acute care experience,
• Or RHIA, RHIT with CDI & Inpatient coding experience in acute care setting,
• Minimum 4 years of acute care/inpatient experience, preferably critical care; requires advanced broad-based clinical expertise and extensive knowledge of complex disease processes, anatomy and physiology, medical/surgical procedures.
• Knowledge of ICD-10-CM/PCS coding guidelines.
• Knowledge of reimbursement methodology, including Medicare MSDRG (CC/MCC), Medicaid APRDRG (SOI/ROM) and third-party payers.
• Familiarity with ICD-10-CM/PCS coding system and DRG assignment.

Excellent benefits and compensation. Clinical Documentation Spedicalist, for immediate consideration, please email a resume to Giovanni Morton GMorton @ maimonidesmed.org.

Maimonides Medical Center (MMC) is an equal opportunity employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard for race, creed (religion), color, sex, national origin, ethnicity, sexual orientation, gender identity, military or veteran status, age, disability, pregnancy, predisposing genetic characteristic, marital status or domestic violence victim status, citizenship status, or any other factor which cannot lawfully be used as a basis for an employment decision in accordance with applicable federal, state, and local laws. MMC is committed to following the requirements of the New York State Human Rights Law with regard to non-discrimination on the basis of prior criminal conviction and prior arrest.

Job Type: Full-time

Pay: $105,000.00 - $111,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work Location: Hybrid remote in Brooklyn, NY

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