Clinical Documentation Specialist: CDI & Reimbursement

Westchester Medical Center; Town of Mount Pleasant (NY); On-site; USD 90,000 - 115,000; Full time

Job summary

Westchester Medical Center seeks a Clinical Documentation Improvement Specialist to review patient records for accuracy of diagnoses and procedures, ensuring compliant DRG assignment and proper reimbursement. You will work with physicians, nurses, coders and compliance staff to clarify documentation and improve chart quality.

Requirements include a healthcare degree and CDI-related credentials; familiarity with ICD-9/ICD-10 and MS-DRG concepts is preferred.

Qualifications

• Bachelor's degree in a healthcare field required.
• Experience with CDI/CDI program and coding principles preferred.

Responsibilities

• Provides clinically based concurrent review of patient records to ensure documentation reflects level of care and severity.
• Interacts with physicians and staff to address documentation clarifications and ensure accurate coding and reimbursement.

Education

Bachelor's degree in Healthcare field

Job description

Westchester Medical Center seeks a Clinical Documentation Improvement Specialist to review patient records for accuracy of diagnoses and procedures, ensuring compliant DRG assignment and proper reimbursement. You will work with physicians, nurses, coders and compliance staff to clarify documentation and improve chart quality.

Requirements include a healthcare degree and CDI-related credentials; familiarity with ICD-9/ICD-10 and MS-DRG concepts is preferred.