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Clinical Document Improvement Specialist

SUNY Downstate Medical Center
Brooklyn, NY Full Time
POSTED ON 9/4/2024 CLOSED ON 10/3/2024

What are the responsibilities and job description for the Clinical Document Improvement Specialist position at SUNY Downstate Medical Center?

Job No: 495968
Department: MEDICAL RECORDS
Local Title: Clinical Document Improvement Specialist
Budget Title: Teaching Hospital Medical Records Specialist
Work Type: Full Time
Location: Brooklyn, NY
Categories: Administrative, Information Technology

Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.


Bargaining Unit:


UUP


Job Summary:


The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Medical Records Specialist. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will:

  • Abstract clinical information from the medical record and assign appropriate ICD-10cm and ICD-10PCS or CPT codes according to established procedures.
  • Maintain optimal standard of coding and assume uniformity of coding for compliance and reimbursement.
  • Ensure the selection of accurate and descriptive codes from the appropriate classification system.
  • Ensure the confidentiality of data contained on the patients’ medical records.
  • Analyze the information contained in the medical record to ensure that the most appropriate codes are used.
  • Query the physicians for appropriate documentation.
  • Work collaboratively with all department and hospital staff.
  • Perform other related duties as assigned.


Required Qualifications:


  • RHIA or RHIT or CCS coding certification.
  • 1 year in a supervisory/administrator capacity.
  • Ability to make coding decisions based on use of established coding guidelines.
  • Ability to work independently and be a self-starter.


Preferred Qualifications:


  • Bachelor of Science Degree with related Health Information Management experience, and 3-5 years direct coding experience in an acute care setting preferred.


Work Schedule:


Monday to Friday; 9:00am to 5:00pm


Salary Grade/Rank:

SL-2

Salary Range:

Commensurate with experience and qualifications


Executive Order:


Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.


Equal Employment Opportunity Statement:


SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.

Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.

If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at ada@downstate.edu


Advertised: July 08, 2023 Eastern Daylight Time
Applications close:

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