Location: New Rochelle, NY
Cap-Exempt H-1B Position โ No lottery required
**City/State:** New Rochelle, New York **Grant Funded:** No **Department:** MNR Health Information Management **Work Shift:** Day **Work Days:** MON-FRI **Scheduled Hours:** 8:30 AM-5 PM **Scheduled Daily Hours:** 7.5 HOURS **Pay Range:** $104,000.00-$130,000.00 **Job Summary** 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 (e.g auditing, service line education, etc.). She/he is responsible for validating the integrity of the medical record documentation in the overall completeness, accuracy, specificity and timeliness of documentation through extensive medical record and query process interrogation. Conducts successful interventions related to documentation improvement and coding validation, and follows through with all software and supervisory recommendations based on their individual impact. Additionally, effective communication with appropriate clinical and coding staff, and utilization of all required computer programs and software is integral. Identifies, investigates, evaluates practices and processes to facilitate continuous improvement in complete and accurate medical record documentation while maintaining records and databases to quantify the deficits. Maintains knowledge of regulatory requirements and policies regarding required documentation impact on coding, and DRG assignments AND CMS AND NEW YORK STATE HOSPITAL QUALITY PERFORMANCE DATA PROGRAMS . Monitors key indicator metrics associated with CDI, as they relate to revenue cycle and quality outcomes. **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, an