Hybrid CDI Specialist: Healthcare Documentation

NewYork-Presbyterian; United States; Hybrid; USD 101,000 - 151,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

NewYork-Presbyterian seeks a Documentation Improvement Specialist (CDI) to drive accurate medical record documentation. The hybrid role requires four in-office days in Queens and involves concurrent and retrospective interventions with physicians, residents and clinicians.

Responsibilities include providing education on regulatory documentation, identifying opportunities for improvement, and collaborating with the Coding Unit to ensure compliant, well-documented records across services.

Qualifications

• Bachelor's degree required.
• 5 years of hospital experience and/or verifiable CDI experience.
• Experience in an Electronic Medical Record (EMR) environment.
• Registered Nurse, Nurse Practitioner, OT, PT, PA or trained physician background.

Responsibilities

• Facilitate improvement of medical record documentation via concurrent and retrospective interventions.
• Provide education to physicians, residents and other licensed clinicians.
• Develop processes to identify opportunities and quantify deficits with records.
• Collaborate with Coding Unit and therapy staff on correct billing and documentation.

Skills

EMR experience

Documentation improvement

Interdisciplinary collaboration

Education

Bachelor's degree

Tools

EMR system

Job description

NewYork-Presbyterian seeks a Documentation Improvement Specialist (CDI) to drive accurate medical record documentation. The hybrid role requires four in-office days in Queens and involves concurrent and retrospective interventions with physicians, residents and clinicians.

Responsibilities include providing education on regulatory documentation, identifying opportunities for improvement, and collaborating with the Coding Unit to ensure compliant, well-documented records across services.