Clinical Documentation Improvement Manager - Mount Sinai Health Partners
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Clinical Documentation Improvement Manager - Mount Sinai Health Partners
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Description
Job Description
The Clinical Documentation Improvement Manager (MSHP) with oversight from the Director shall be responsible for the daily oversight of staff to meet departmental and corporate objectives to ensure that all patient charts are documented and coded to the highest specificity. This includes planning, monitoring, review and evaluation of the department policies and procedures. The Manager will be responsible for ensuring compliance with the Standard Operating Policy, adherence to milestones and timely execution of deliverables. This position will also be responsible for the review of the monthly processes and analysis, and preparation of reporting packages. They will provide direct oversight for the CDQI Specialists for day-to-day workflow and other management related needs. The Manager will track and trend coding and documentation issues, develop targeted provider education, and create best practices for medical record review and diagnosis code abstraction. The incumbent will work closely with all departments within Mount Sinai Population Health. The Manager will assist the Director to ensure that all governmental and compliance requirements are met.
Responsibilities
- Systematically evaluates the quality and effectiveness of the CDQI department analyzing appropriate internal and external data and information to identify opportunities for improving CDQI practices.
- Provides on-going feedback to CDQI staff regarding the quantity and quality of concurrent queries. Provides suggestions as to opportunities for additional and/or more appropriate queries. Addresses CDQI staff questions. Along with Analytics, develops mechanisms for auditing quality of CDQI queries on an ongoing basis.
- Develops implements and evaluates documentation and query tools with CDQI staff and medical care teams. Conducts annual review of tools content based upon changes in ICD-10 codes and revises or develops new tools as needed. Based upon audit results, provides feedback to medical teams which could enhance the accuracy of patient record documentation.
- Provides status reports of the department. Maintains and interprets master CDQI report package for trends, accuracy and performance improvement.
- Decisions and actions are based on ethical principles and foster a non-discriminatory climate.
- Responsible for interviewing and hiring.
- Responsible for operating within approved budget.
- Provides leadership, direction and guidance to staff.
- Coordinates and maintains the required training and skills for staff.
- Implements corrective actions and conducts performance evaluations.
- Effectively addresses personnel issues in order to promote a productive and healthy and positive work environment.
- Performs other duties as assigned or required
Qualifications
Education Requirements
- Associates degree required. Bachelor?s degree preferred.
Experience Requirements
- Minimum of 3-5 years senior-level, training or supervisory experience on a team that focuses on clinical documentation and/or coding required. This experience should include but is not limited to, experience with training and onboarding new team members, serving as a mentor, monitoring work product, delivering feedback, and overseeing a quality review process.
- Relevant AAPC, AHIMA or ACDIS certification required i.e. CCS (Certified Coding Specialist), CPC (Certified Coding Professional), CIC (Certified Inpatient Coder) or CCDS Certified Clinical Documentation Specialist
- CRC (Certified Risk Adjustment Coder) strongly preferred. Must obtain within one year.
- Minimum three (3) years in a health care setting is required.
- Minimum one (1) year of experience reviewing records and accurately applying ICD-10-CM diagnosis codes.
Additional Skills And Qualities
- Verifiable ability to effectively communicate on a verbal and written basis with staff, management and providers is required.
- Demonstrated ability to determine, analyze and solve escalated issues related to medical record documentation and coding deficiencies required.
- Ability to interpret ICD-10, CMS and HHS guidelines.
- Advanced knowledge of Microsoft Office, including Word, Excel, Outlook and PowerPoint is preferred
- Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.
- Demonstrated ability to identify improvement opportunities for processes and reports.
- Must be detail-oriented with strong organizational skills, including the ability to coordinate workflow.
- Demonstrated ability to lead, coach, train or supervise staff.
- Demonstrated ability to work independently and with a team to contribute to department goals.
- Excellent verbal and written communication skills
- Flexibility to adapt to a changing and fast-paced environment.
- Demonstrated ability to work with and maintain confidential information.
Licensing and Certification Requirements
- Relevant AAPC, AHIMA or ACDIS certification required i.e. CCS (Certified Coding Specialist), CPC (Certified Coding Professional), CIC (Certified Inpatient Coder) or CCDS Certified Clinical Documentation Specialist
- CRC (Certified Risk Adjustment Coder) strongly preferred. Must obtain within one year.
Non-Bargaining Unit, E01 - Partner MSO Services - MSH, Mount Sinai Hospital
Employer Description
Strength through Unity and Inclusion
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About The Mount Sinai Health System
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Compensation
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $78884 - $118326 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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