Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full time Clinical Documentation Improvement Specialist / TH Utilization Review and Quality Assurance Senior Coordinator. The successful candidate will:
Report to the Director of Health Information Management, and be accountable for reviewing medical records to facilitate clinical documentation that accurately reflects the patient’s severity of illness and risk of mortality by improving the quality of the physicians’ clinical documentation. This involves extensive record review, interaction with physicians, residents, advanced practice nurses, ancillary providers, coding and HIM professionals and nursing staff.
Review inpatient medical records for identified payer populations (Medicare, Medicaid, Blue Cross/Blue Shield, and others as designated) as directed on admission and throughout hospitalization.
Collaborate with physician leadership, designs and implements specific tools to support medical record physician documentation.
Develop and implement plans for both formal and informal education of physician, nursing, and other clinical staff.
Communicate with attending physician and other relevant clinical staff, either verbally or through written methodology.
Maintain good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps identify problems, offers solutions, and participates in their resolution.
Assure personal and professional growth through self-study/attendance/participation in seminars and workshops.
Maintain the confidentiality of information acquired pertaining to patient, physicians, associates, and visitors to the Medical Center.
Behave in accordance with the Mission, Vision, and Values of the Medical Center.
Demonstrate integrity, truthfulness and fairness when working with others.
Create an environment of acceptance and respect in the work place.
Integrate knowledge of cultural competence and inclusion in all daily practices such as assessment, documentation, communication, etc.
Work closely with HIM coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities are a complete reflection of the patient’s clinical status and care.
Contribute to organizational, departmental and unit based process improvement activities.
Demonstrate and maintain competency and accuracy in use of software applications including capability in Microsoft Office applications.
Conduct daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity.
3+ years of acute care nursing experience.
Current, active, and full New York State Registered Nurse license, or equivalent recent clinical experience.
Clinical Documentation Improvement experience.
Certification in Clinical Documentation Improvement.
Excellent interpersonal skills, including verbal and written communication, to develop relationships necessary to influence physician documentation processes.
Ability to prioritize and be self-directed and capable of independent decision-making.
Analytic skills necessary to clinically assess medical records.
Critical thinking, problem solving and deductive reasoning skills.
Ability to organize and present information clearly and concisely.
Basic computer skills including Microsoft office products, Excel and PowerPoint.
Working knowledge of Medicare reimbursement and coding structures desirable.
Days: Monday to Friday; Hours: 9:00am to 5:00pm
Commensurate with experience and qualifications
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 firstname.lastname@example.org.
Equal Employment Opportunity Statement:
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at 718-270-3025.
Internal Number: 494574
About SUNY Downstate Health Sciences University
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.