Top 61 Clinical documentation specialist Jobs in Westchester County Ny

Clinical Documentation Specialist, Level 1
NYC Health + Hospitals —New York, NY
- $119,696 a year
- Online Application
- Nursing
- RN License
- Hospital
- Commuter assistance
- Paid holidays
Documentation Improvement Specialist (On site work required)
NewYork-Presbyterian Hospital —New York, NY
- $101,000 - $151,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Opportunities for advancement
5d
RN Clinical Documentation Specialist
Montefiore Nyack Hospital —Nyack, NY
- $53 - $59 an hour
- 8 hour shift
- Nursing
- RN License
- Customer service
RN Utilization Review Specialist
Montefiore Nyack Hospital —Nyack, NY
- From $110,000 a year
- 8 hour shift
- Nursing
- RN License
- Hospital
Clinical Documentation Specialist RN
Hackensack Meridian Health —Hackensack, NJ
- From $97,011.20 a year
- Full-time
- Microsoft Word
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Senior Consultant - Clinical Documentation Specialist
Deloitte —Stamford, CT
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Clinical Document Specialist - PD
Holy Name Medical Center —Teaneck, NJ
- $45.50 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Free parking
- Health insurance
OR Circulator Registered Nurse
Redefine Management, LLC —Hackensack, NJ
- $52 - $58 an hour
- Full-time
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Clinical Informatics Specialist - Per Diem
St. Mary's Healthcare System for Children —Bayside, NY
- From $60 an hour
- Per diem
- Nursing
- Mid-level
- Master's degree
Quick Apply
Senior Grievance & Appeals Specialist, Clinical
VNS Health —Manhattan, NY
- $93,400 - $116,800 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Continuing education credits
- Paid holidays
13d
Document Improvement Specialist, Fulltime
Stamford Health —Stamford, CT
- Full-time
- Nursing
- RN License
- 5 years
- Free parking
- Health insurance
Quick Apply
Monitoring Specialist
Westchester Medical Center —Valhalla, NY
- $22.25 - $27.98 an hour
- 12 hour shift
- Hospital
- HIPAA
- Administrative experience
- Paid holidays
- Health insurance
Verification Nurse - Oncology - N2 7 South and Infusion Center
Westchester Medical Center —Valhalla, NY
- $63.07 - $71.06 an hour
- Full-time
- Nursing
- Vital signs
- RN License
Supervising Medical Records Specialist
NYC Health + Hospitals —New York, NY
- $78,182 a year
- Online Application
- Hospital
- Mid-level
- High school diploma or GED
- Commuter assistance
- Paid holidays
Coding Specialist, Part Time (Athena Experience Preferred)
VNS Health —Manhattan, NY
- $66,300 - $72,000 a year
- Part-time
- Mid-level
- 3 years
- Bachelor's degree
- Continuing education credits
- Paid holidays
Clinical Research Coordinator
Hackensack Meridian Health —Hackensack, NJ
- From $83,782.40 a year
- Full-time
- Customer service
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance
Senior Coding Auditor
Montefiore Einstein —Tarrytown, NY
- $76,632.04 - $95,790.05 a year
- Full-time
- Nursing
- Hospital
- Word processing
Registered Nurse, Developmental Disabilities
Services For The Underserved, Inc. —Bronx, NY
- $50 - $55 an hour
- Part-time
- Remote
- Nursing
- Vital signs
- RN License
- Paid time off
Utilization Review Specialist
Fresh Youth Initiatives —New York, NY
- $26 - $28 an hour
- Part-time
- Hybrid work
- Licensed Clinical Social Worker
- Clinic experience
- Mid-level
- Professional development assistance
Quick Apply

I want to receive the latest job alert for clinical documentation specialist in westchester county ny

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical documentation specialist jobs near westchester county ny

Registered Nurse jobs in Bronx, NY

Clinical Documentation Specialist jobs in Stamford, CT

Clinical Documentation Improvement Specialist jobs in New York, NY

Senior Clinical Specialist jobs in Manhattan, NY

Senior Auditor jobs in Tarrytown, NY

Utilization Review Nurse jobs in New York, NY

Clinical Documentation Specialist jobs in Hackensack, NJ

Records Specialist jobs in New York, NY

Clinical Documentation Specialist jobs in New York, NY

Coding Specialist jobs in Spring Valley, NY

Clinical Research Coordinator jobs in Hackensack, NJ

Registered Nurse jobs in Hackensack, NJ

Healthcare Informatics jobs in Las Vegas, NV

Pharmacy Informatics jobs in New York, NY

Clinical Informatics Specialist jobs in Lexington, MA

Clinical Informatics Specialist jobs in Kenosha, WI

Clinical Informatics Specialist jobs in Columbus, OH

Clinical Informatics Specialist jobs in Tulsa, OK

Remote Claims Specialist jobs in New York, NY

Clinical Informatics jobs in Boston, MA

Clinical Documentation Specialist, Level 1

NYC Health + Hospitals -
New York, NY

Apply Now

Job Details

Full-time
$119,696 a year

Benefits

Commuter assistance
Paid holidays
Health insurance
Pension plan
Union benefits
Employee discount
Loan forgiveness

Qualifications

Optimizing workflow processes
Statistics
Nursing
RN License
Medical statistical report preparation
Certified Nurse Practitioner
Bachelor of Science
Data quality assurance
Regulatory compliance
Medical billing and coding coordination with healthcare providers
Performance Reporting
Care documentation
Mid-level
Quality reports
Quality control data reporting
Acute care facility experience
Health information performance improvement
Clinical staff training
Records management
Bachelor's degree
Nurse Practitioner (NP)
Case management
Clinical training
Health information data integrity
Clinical staff mentoring
Data quality monitoring
Clinical program data analysis
Health record chart audits
Medical record abstraction
Continuous clinical improvement initiatives

Full Job Description

About NYC Health + Hospitals

Harlem Hospital Center has been a bedrock of the Harlem community since 1887. The hospital provides a wide range of medical, surgical, diagnostic, therapeutic and family support services to the residents of Central Harlem, West Harlem, Washington Heights and Inwood. Harlem is the largest hospital in the area, capable of treating the most seriously ill. Harlem provides over 90 specialized ambulatory care services, dentistry and oral surgery, behavioral health services, and community substance abuse treatment.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

9:00 A.M – 5:00 P.M

Duties & Responsibilities

Purpose of Position:

Under the direction of the Director of Clinical Documentation, Director of Health Information Management or a designee for revenue management and recovery, facilitates and obtains appropriate physician documentation for clinical conditions or procedures to support the appropriate severity of Illness, expected risk of mortality, and complexity of patient care and to optimize reimbursement, ensuring patient centered quality care, optimal utilization of resources, service delivery and compliance with NYC Health + Hospitals, hospital, and all relevant regulatory policies, procedures, and standards of care for better outcomes and improved patient experience. Demonstrates effective communication, planning, and organizational skills and keeps current knowledge in the clinical documentation field and of all applicable regulations. All personnel perform related work and may perform tasks remotely, as authorized.

Under supervision, performs assigned duties related to reviewing, reporting, processing and quality assurance of clinical documentation.

Examples of Typical Tasks:

1. Facilitates improvement in the overall quality, completeness, accuracy, specificity and timeliness of physician clinical record documentation through extensive medical record review, query process, and effective communication with appropriate clinical and coding staff, and by utilizing computer programs and systems.

2. Obtains appropriate physician documentation for clinical conditions or procedures through extensive on-going interaction with physicians, other patient caregivers, and medical records coding staff to ensure the clinical documentation properly captures information describing patients’ acuity, severity of illness, and risk of mortality. Reflects the level of service delivered to patients is appropriate, complete, and accurate and supports appropriate reimbursement for the level of service rendered to all patients.

3. Completes concurrent and retrospective reviews of patient records for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, postadmission complications and procedures for accurate Diagnosis-Related Group (DRG) assignment and Case Mix Index (CMI), risk of mortality, and severity of illness.

4. Queries physicians for incomplete, inconsistent, unclear or conflicting health record documentation to clarify and resolve conflicting information in patient’s medical record prior to patient’s discharge; maintains a record of review and query activities and other appropriate records.

5. Provides feedback and completes follow-up review of patient medical record, to ensure points of clarification have been addressed and recorded in the patient’s chart, and to assign a working/updated or final DRG upon patient discharge and before final coding and quality reporting submissions, as necessary.

6. Identifies and reports areas of weakness that may impact financial opportunities, and works with Finance or other appropriate staff in resolution of problems.

7. Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement.

8. Assists with preparation and presentation of clinical documentation monitoring/trending reports for review with physicians and hospital leadership.

9. Assists in the orientation and training of new staff members, and provides continual guidance and mentoring, as required.

10. Educates providers on proper clinical documentation and coding guidelines and practices, and compliance and reimbursement issues on an ongoing basis. Advises on the impact of provider documentation on accurate reporting of a patient’s clinical information and reimbursement.

11. Attends and/or participates in staff, departmental and interdisciplinary meetings, LEAN efficiency/ process improvement events, training and quality assurance/performance improvement (QA/PI) activities.

12. Performs other related work, as assigned.

Minimum Qualifications

1.Valid New York State license and current registration to practice as a Registered Professional Nurse(RN) issued by the New York State Education Department (NYSED); and Bachelor of Science inNursing degree from an accredited college or university; and four (4) years of acute care experience;or
2.Valid New York State license and current registration to practice as a Nurse Practitioner (NP) issuedby the NYSED; and two (2) years of experience, as described in “1” above; or
3.Valid New York State license and current registration to practice as a Physician Assistant (PA)issued by the NYSED; and two (2) years of experience, as described in “1” above; or
4.Foreign Medical Graduate; and, two (2) years of medical records review or utilization and case management experience; or
5.Successful completion of education that leads to a medical degree; and two (2) years of experience,as described in “4” above.

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

Apply Now

Refine Your Search

clinical documentation specialist jobs in westchester county ny

Clinical Documentation Specialist, Level 1

Documentation Improvement Specialist (On site work required)

RN Clinical Documentation Specialist

RN Utilization Review Specialist

Clinical Documentation Specialist RN

Senior Consultant - Clinical Documentation Specialist

Clinical Document Specialist - PD

OR Circulator Registered Nurse

Coder Auditor/Senior CDI Specialist

Clinical Informatics Specialist - Per Diem

Senior Grievance & Appeals Specialist, Clinical

Document Improvement Specialist, Fulltime

Monitoring Specialist

Verification Nurse - Oncology - N2 7 South and Infusion Center

Supervising Medical Records Specialist

Coding Specialist, Part Time (Athena Experience Preferred)

Clinical Research Coordinator

Senior Coding Auditor

Registered Nurse, Developmental Disabilities

Utilization Review Specialist

I want to receive the latest job alert for clinical documentation specialist in westchester county ny

Explore jobs in more locations

About NYC Health + Hospitals

Work Shifts

Duties & Responsibilities

Minimum Qualifications

Benefits

How To Apply

Job Seeker Tools

Employer Tools

Browse

Stay Connected