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 comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.
Position Summary:
We have an exciting opportunity to join our team as a Director-Clinical Documentation.
In this role, the successful candidate serves as operational program Director for the Clinical Documentation Improvement 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:
- Serves as operational program 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:
To qualify you must have a Current Registered Nurse License NYS, Bachelor's Degree required in nursing, health information management or equivalent along with current certification/licensure plus at least six years experience in clinical documentation improvement with proficiency in DRG coding/payor issues and/or documentation strategies, with at least three years in management role. 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 plus over 3 years in CDI management role. Proficiency in data analytics.
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.
NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $213,477.56 - $304,968.49 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
To view the Pay Transparency Notice, please click here
