CDI Specialist

Department/Unit: AMHS - Clinical Documentation Integrity Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Utilizes clinical expertise to assess clinical documentation concurrently and retrospectively; contributes to improvement of the overall completeness and quality of the documentation/medical record; collaborates extensively with physicians and other health care providers so that the clinical documentation reflects accurately the complexity of patient’s care; provides ongoing education to all healthcare providers regarding the importance of accurate documentation; collaborates with the HIM and the Quality Management departments; exhibits extensive knowledge of clinical documentation requirements and DRG assignment; supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Education: Bachelor’s degree in nursing or health related degree is required MD, DO, MBBS or foreign educated medical graduate with advanced clinical practice experience Licensure, Certification & Registration: Valid CDI Certification such as CDIP or CCDS preferred Valid Coding certification such as CCA or CCS preferred Current NYS RN license required for nurses If a foreign educated medical graduate, ECFMG certificate preferred Experience: Advanced clinical experience with extensive knowledge of complex disease processes and broad clinical practice experience in the inpatient and outpatient settings required CDI experience preferred At least 5 years adult acute care practice experience Demonstrated effective, collegial communication with physicians, other providers, staff and leadership through direct discussion and written communications Skills, Knowledge & Abilities: Excellent interpersonal and analytical skills. Must be able to function independently, interpret information, communicate with medical and clinical staff and both internal and external to the institution Able to provide oral presentations both in person and virtually Must be motivated, organized with excellent verbal, written communication skills, and conversant with adult professional learners. Ability to work independently and as a member of a team utilizing critical thinking skills. Demonstrated competence in data analysis and data interpretation. Knowledge of ICD-10 codes and coding guidelines. Ability to prioritize workflow and manage various initiatives. Demonstrated quality improvement knowledge/skills regarding workflow and productivity processes Strong speaking and writing skills required Excellent presentation skills required Able to produce reports in Microsoft Office components, Word, Power Point, Excel, and Access databases Demonstrated effective facilitation skills Good listening skills Strong interpersonal communication skills with the ability to relate to all levels of education and organization positions Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Albany Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer outstanding employee benefits including: · Excellent health care coverage with no copay at Albany Medical Center providers · A wide array of services and programs to support emotional, physical, and mental wellbeing Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.

Salary : $71,612 - $110,999