CDI Specialist: Elevate Documentation & Patient Care

Downstate; New York (NY); Hybride; USD 90 000 - 125 000; Plein temps

Résumé du poste

SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Clinical Documentation Improvement (CDI) Specialist within the Department of Health Information Management. The CDI Specialist reviews inpatient records to ensure documentation reflects illness severity, mortality risk, and services provided throughout hospitalization.

Collaborating with physicians, residents, APPs, nursing, and coding professionals, the CDI Specialist

Responsabilités

• Conduct concurrent reviews of inpatient records upon admission and during hospitalization.
• Evaluate documentation for accuracy, completeness, and clinical consistency.
• Identify gaps or opportunities for clarification related to diagnoses and severity.
• Communicate with physicians and clinicians to obtain timely clarification via queries.
• Collaborate with coding professionals to ensure accurate principal and secondary diagnoses.
• Support accurate coding, quality reporting, and reimbursement through improved documentation.

Description du poste

SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Clinical Documentation Improvement (CDI) Specialist within the Department of Health Information Management. The CDI Specialist reviews inpatient records to ensure documentation reflects illness severity, mortality risk, and services provided throughout hospitalization.

Collaborating with physicians, residents, APPs, nursing, and coding professionals, the CDI Specialist