Overview:

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The possibilities are endless...

Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize

the abundant opportunities for growth and success.

If this describes you then lets talk!

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report . As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise

Outpatient CDI Specialist

Full-Time

JOB SUMMARY:

The Ambulatory CDIS facilitates modification to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team.

PRIMARY RESPONSIBILITIES

• Review outpatient medical records daily, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation.
• Work with registration to identify preauthorization denials for opportunities to correct codes on the front end before patient has surgery.
• Collaborate with providers, case managers, coders, and other healthcare team members to facilitate comprehensive health record documentation that reflects clinical treatment, decisions, diagnoses, and interventions.
• Utilize the EPIC to conduct reviews of the health record and identify opportunities for clarification.
• Conduct follow-up of posted queries to ensure that queries have been answered and physician responses have been appropriately documented.
• Provide or coordinate education related to compliance, coding, and clinical documentation issues within the healthcare organization. This may include rounding with the multidisciplinary healthcare team.
• Act as a consultant to coding professionals when additional information or documentation is needed to assign coded data.
• Collaborate with HIM/coding professionals to review individual problematic cases and ensure accuracy of final coded data in conjunction with CDI managers, coding managers, and/or physician advisors.
• Gather and analyze information pertinent to documentation findings and outcomes.
• Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization.
• Develop provider education strategies to promote complete and accurate clinical documentation and correct negative trends.
• Identify patterns, trends, variances, and opportunities to improve documentation review processes.
• Assist in the development and reporting of performance measures to the medical staff and other departments and prepare physician-specific data information.
• Enhance expertise in query development, presentation, and standards (including understanding of published query guidelines and practice expectations for compliance).
• Conduct independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics.

Education and Experience

High school diploma, GED or equivalent.

3-5 years ICD-10, CPT coding experience.

Minimum Licensure

CCS (AHIMA) or CPC (AAPC)

Preferred Licensure

CCDS (ACDIS) or CCDS-O or CDIP (AHIMA) or CDEO (AAPC)

Epic Experience

Denial Experience