Clinical Documentation Specialist -Network Integration (1027342_RR00006334)

NYU Langone Medical Center New York, NY

NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals - Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center - plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to

Position Summary:

We have an exciting opportunity to join our team as a Clinical Documentation Specialist, Network Integration.

In this role, the successful candidate will evaluate NYUPN physician clinical coding from medical records to ensure that appropriate coding and documentation of encounter data are being captured and submitted to the health plans for the Medicare Population. The Clinical Documentation Specialist will identify issues and trends in outpatient physician coding and documentation, and translate these findings into clear recommendations and focused education opportunities back to the providers.

Job Responsibilities:

Performs medical record review of charts comparing ICD-9 and ICD-10 codes for Medicare submission and provider documentation;

Completes audit summaries to identify discrepancies, and convey results back to physicians for educational purposes;

Documents audit results, findings, actions, and outcomes in accordance with ICD-9, ICD-10 and Medicare Risk Adjustment Payment System guidelines;

Develops relationships with providers, and communicates guidelines and requirements of Risk Adjustment Payment System to ensure correct coding and documentation;

Identifies issues and trends in coding and documentation that affect provider risk adjustment factor scores;

Assists in developing and delivering coding education and documentation improvement training programs;

Leads training sessions on current documentation information: ICD-9, ICD-10 and CPT

Develops and implements corrective action processes;

Participates in coding and reimbursement meetings;

Reviews and responds to coding questions;

Maintains knowledge of ICD-9, ICD-10 and CPT classifications and coding of diagnoses and procedures;

Stays up-to-date of changes in the rules of EM coding and documentation and reimbursements;

Travels to NYUPN physician practices to provide on-the-ground support and assistance;

Creates presentations as needed

Minimum Qualifications:

To qualify you must have a Bachelors degree and a minimum of 3 years documentation coding experience. Experience in ICD-9 and ICD-10 coding reimbursement. Ability to learn and develop the skills necessary to perform clinical documentation improvement. Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or Certified Clinical Documentation Specialist (CCDS)

Computer literacy and ability to effectively obtain clinical information from a variety of electronic sources, including different medical record systems. Familiarity with important areas such as privacy, security, and confidentiality that also impact sharing of clinical information. Strong interpersonal communication and presentation skills to effectively present information to providers, management, faculty practice groups and individuals. Ability to function as a member of a self-directed team to meet specific metrics and goals; Well-developed communication skills - both verbally and written. Excellent organizational and project management skills. Strong time management, attention to detail, and follow through. Well-developed research skills. Documentation Improvement, Utilization, Quality or Case Management experience. Qualified candidates must be able to effectively communicate with all levels of the organization.

Preferred Qualifications:

Proficiency in EPIC platform preferred. ED coding experience preferred. Certified Documentation Improvement Practitioner (CDIP) preferred.

NYU Langone Medical Center 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. And just as our employees invest so much in us, we invest in our employees. We're pleased to have one of the most competitive compensation packages not only among New York's hospitals and healthcare institutions, but within the corporate sector as well.

We begin with exceptional medical, dental, and drug coverage. We enhance this basic coverage with comprehensive wellness programs, and supplement those with retirement investment and benefits plans, and generous paid time off allowances. Add to that a very attractive tuition program, and you'll see just some of the ways that NYU Langone Medical Center demonstrates our commitment to our employees.

NYU Langone Medical Center 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, sexual orientation, national origin, age, religion, creed, disability, military and veteran 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 Medical Center's EEO policies, please click here . Please click here to view the Federal "EEO is the law" poster or visit for more information.

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