- New Rochelle, New York, United States
- $104K–$130K per year
- 3+ years
The Documentation Improvement Specialist maintains professional practice standards, clinical expertise, and demonstrates leadership skills. She/He participates in assigned projects designed to continually improve hospital performance targets at the medical center.
Compensation
Pay Range: $104,000.00-$130,000.00
Responsibilities
- Completes concurrent and retrospective validation of system output (principal diagnosis, pertinent secondary diagnoses, post-admission complications, Present on Admission Status (POA), Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), procedures, and electronic queries for accurate Diagnosis-Related Group (DRG) assignment and Case Mix Index (CMI), risk of mortality, and severity of illness).
- Provides routine in-services to assigned clinical areas/service lines regarding regulatory documentation requirements including feedback on the impact of clinician documentation on service specific metrics.
- Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for performance improvement.
- Assists in the orientation and training of new staff members, and provides continual guidance and mentoring, as required.
- Collaborate with Health Information Management for review of denials based on clinical documentation queries and providing supporting documentation.
Requirements
- Bachelor's Degree in a healthcare related field