CDI Director

Employment Type

: Full-Time

Industry

:



NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on Facebook, Twitter, YouTube and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a CDI Director.



In this role, the successful candidate serves as operational program Associate Director for the Clinical Documentation Excellence Program with responsibility for coordinating the overall activities of the program and its staff. Facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation through extensive interaction with clinicians. Ensures clinical documentation within the hospital accurately reflects the services and care provided to patients and is consistent with the criteria for high quality clinical documentation. Acts as a coordinator of physician clinical documentation, coding and reimbursement processes in working towards agreed upon quality and productivity targets for all services in the system. Assures the appropriate DRG assignment reflects care rendered to the patient and the severity of illness. Ensures the accuracy and completeness of clinical information used for measuring and reporting the DRG assignment and case mix weight. Provides education and training about regulatory and reimbursement changes on an ongoing basis. Oversees and maintains the integrity of the Clinical Documentation Program performance tracking and reporting process. Analyzes data and provides management reports to evaluate the financial impact of the program. Measure the effectiveness of documentation tools, trend and quantify the effectiveness of coding, evaluate the success of concurrent documentation improvement on an ongoing basis

Job Responsibilities:

  • Performs other duties as assigned.
  • Demonstrates knowledge of documentation requirements necessary to evaluate medical records, identify complications, co-morbid and coexisting conditions, as well as review DRGs based on coding guidelines/regulations (i.e., AHA Coding Clinic, CMS.
  • Effectively coordinates and manages Clinical Documentation Excellence Program activities to assure full regulatory and payer compliance, quality of clinical documentation and contribution to NYUHCs fiscal reimbursement. Performs or assists with special projects.
  • Provides relevant orientation, education and training to all members of the patient care team (physicians, residents, NPs, allied health and nursing) about regulatory and reimbursement changes on an ongoing basis.
  • Demonstrates initiative, effective planning and time management and performs other related duties as needed and assigned.
  • Identifies new opportunities for licensed independent practitioner education to improve documentation for severity of illness.
  • Establishes appropriate working rapport with service chiefs and Chief Medical Officer to enhance physician collaboration, education, and support for Clinical Documentation Excellence Program.
  • Performs data and fiscal analysis relevant to CDE outcomes and interventions, prepares management reports and presentations to all levels of clinical and administrative leadership.
  • Evaluates and monitors job performance of the Clinical Documentation Specialist; provides counseling and performs personnel-related activities.
  • Develops, prepares and conducts CDE staff orientation and program training and as needed when new coding requirements/guidelines impact program and documentation practice/policy.

Minimum Qualifications:

To qualify you must have a Bachelor's Degree in nursing, health information management or equivalent along with current certification or licensure. 2 plus years experience in DRG coding/payor issues and/or documentation strategies as manager or supervisor or responsibility that reflects same.

Knowledge of federal, state and payer reimbursement methods, DRGs and severity systems as well as universal coding practices and guidelines.

Possesses a high level of clinical knowledge to participate collaboratively with all members of the care team.

Must have strong critical thinking, data, financial and analytical skills, as well as an exceptional ability to integrate clinical, coding and reimbursement knowledge.

Must be able to recognize payer and DRG differences/implications in hospital financial/reimbursement. Must be highly detail oriented, have strong organizational skills, and possess excellent communication, presentation and interpersonal skills. Computer proficiency (MS Outlook Office, Excel, Power Point) is required.

Required Licenses: Registered Nurse License-NYS

Preferred Qualifications:
Master's Degree in Nursing or related health concentration. Knowledge or familiarity with AP DRG system, 3M or similar coding software. Proficiency in running computer queries to facilitate management analysis and reporting

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health 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.

NYU Langone Health is an equal opportunity and affirmative action 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 to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.

Position Summary:
Serves as operational program Associate Director for the Clinical Documentation Excellence Program with responsibility for coordinating the overall activities of the program and its staff. Facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation through extensive interaction with clinicians. Ensures clinical documentation within the hospital accurately reflects the services and care provided to patients and is consistent with the criteria for high quality clinical documentation. Acts as a coordinator of physician clinical documentation, coding and reimbursement processes in working towards agreed upon quality and productivity targets for all services in the system. Assures the appropriate DRG assignment reflects care rendered to the patient and the severity of illness. Ensures the accuracy and completeness of clinical information used for measuring and reporting the DRG assignment and case mix weight. Provides education and training about regulatory and reimbursement changes on an ongoing basis. Oversees and maintains the integrity of the Clinical Documentation Program performance tracking and reporting process. Analyzes data and provides management reports to evaluate the financial impact of the program. Measure the effectiveness of documentation tools, trend and quantify the effectiveness of coding, evaluate the success of concurrent documentation improvement on an ongoing basis

Minimum Qualifications:
Bachelor's Degree in nursing, health information management or equivalent along with current certification or licensure. 2 plus years experience in DRG coding/payor issues and/or documentation strategies as manager or supervisor or responsibility that reflects same. Knowledge of federal, state and payer reimbursement methods, DRGs and severity systems as well as universal coding practices and guidelines. Possesses a high level of clinical knowledge to participate collaboratively with all members of the care team. Must have strong critical thinking, data, financial and analytical skills, as well as an exceptional ability to integrate clinical, coding and reimbursement knowledge. Must be able to recognize payer and DRG differences/implications in hospital financial/reimbursement. Must be highly detail oriented, have strong organizational skills, and possess excellent communication, presentation and interpersonal skills. Computer proficiency (MS Outlook Office, Excel, Power Point) is required.

Required Licenses: Registered Nurse License-NYS

Preferred Qualifications:
Master's Degree in Nursing or related health concentration. Knowledge or familiarity with AP DRG system, 3M or similar coding software. Proficiency in running computer queries to facilitate management analysis and reporting


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