The Clinical Documentation Specialist will work with Senior Director in physician education regarding documentation that meets severity of illness/intensity of service guidelines. The CDS will work with hospital top DRG’s to insure that documentation is optimal and meets coding clinic guidelines in order insure optimal hospital reimbursement. Prepares and presents reports pertinent to improvements and educational outcomes.
- Assisting with the scheduling of staff to assure appropiate coverage.-
- Running and reviewing regular reports through several sourcees and utilizing information to: Analyze data and key metrics to find issues and develop a fix.
-Identify opportunities for CDS staff and physicians.
- Track technology issues with process tools and make requests to IT to improve upon them.
- Track query escalation process, CDS/Coder collaboration, etc. Coordinate with CDI Director.
- Identifies trends and opportunities for improvement in clinical documentation.
-Assist running weekly huddles or monthly meetings for CDI team and providing feedback to the CDI Director on operational concerns.
-Providing feedback to CDI Director on physician response issues.
-Work with the CDI Director to develop and oversee new hire training and orientation programs.
-Conduct audits of CDI queries and perform second level reviews.
- Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches.
-Develop montly educational topics for CDSs based on opportunities identified from second level reviews and query audits.
-Develop content and provide physician in-services as needed based on review if disagreed queries, ongoing opportunities, and physician process and outcome data.
-Registered nurse or other health care profession required.
-Three (3) years’ experience in a related position in Clinical or Health Information Management Department.
-Experience in ICD-9 and ICD-10, CPt-4 coding.
BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network of 39 practices are providing the wide range of services needed by the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to 750,000 visits annually. Its ER is among the largest in the nation with 127,000 visits annually.
In 2023, BronxCare received full accreditation from the Joint Commission, the leading accrediting authority for hospitals in the nation. Its medical school affiliation with the Icahn School of Medicine at Mount Sinai and clinical collaboration with the Mount Sinai Health System, as well as 16 accredited residency and fellowship programs, are strong indicators of excellence. BronxCare’s outpatient practices are also certified as a Level Three Patient-Centered Medical Home (the highest designation) by the National Committee for Quality Assurance (NCQA).
As an engine for positive change, BronxCare has infused more than $400 million into the Bronx economy, including a new Pediatric Specialty Center and Ophthalmology Practice, among numerous other capital projects. A new 33-bed Medical-Surgical Unit at the Concourse Hospital Division and 20-bed Adult Psychiatric Unit at the Fulton Hospital Division will increase inpatient capacity to 912 beds, further reinforcing BronxCare’s ability to address the significant needs of the Bronx community.
BronxCare is also modernizing its Inpatient Maternity and Labor and Delivery Units, as well as its Women’s Health Center and Neurology Suite, to improve the patient experience. Additionally, BronxCare’s Dr. Martin Luther King, Jr. Health Center Practice at 174th Street will be opening.
