At Stony Brook Medicine, a Clinical Documentation Specialist - Revenue Integrity is a valuable member of our team who is responsible for the overall accuracy and the integrity of the medial record. The Clinical Documentation Specialist - Revenue Integrity facilitates the capture of accurate medical record documentation at the point of care through interaction with physicians, and other caregivers. The Clinical Documentation Specialist - Revenue Integrity advocates for appropriate patient classification relative to the level of care provided and supports accuracy of information that will be used for measuring and reporting physician and hospital outcomes. The Clinical Documentation Specialist - Revenue Integrity follows coding guidelines and hospital policies to ensure compliance with clinical documentation.
Duties of a Clinical Documentation Specialist - Revenue Integrity may include but are not limited to the following:
Performs concurrent and retrospective medical record reviews evaluating for accurate and complete documentation in accordance with documentation improvement and coding guidelines.
Interacts and communicates with physicians and mid level providers when documentation needs are identified. Initiates verbal & electronic queries. Provides follow-up to ensure points of clarification have been recorded in the medical record.
Maintains records in database to include abstraction of patient's clinical findings relevant to principal and secondary diagnosis and procedures & establish productivity levels.
Identifies appropriate principal diagnosis to establish a working DRG assignment and average length of stay. Demonstrates knowledge of DRG payer issues and appropriate DRG assignment alternatives.
Works in coordination with the Physician Advisor and Associate Director of CDI to develop and present physician/ provider education regarding documentation, risk adjustment, coding, quality and regulatory performance.
Works in coordination with coding specialists to ensure appropriate reimbursement based on clinical level of service.
Other duties as assigned.
Required Qualifications: Current NYS Registered Nursing License with Health care related Bachelor degree, or advanced licensure as a Nurse Practitioner, or Physician Assistant. At least 5 years of acute care clinical experience.
Preferred Qualifications: CDI experience in an acute care hospital. CCDS (Certified Clinical Documentation Specialist) credential. CCS (Certified Coding Specialist) credential. Intensive Care Unit experience.
Special Notes: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
About Stony Brook Medicine
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients' lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island's premier academic medical center. With 603 beds, we serve as the region's only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children's Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County's only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation's first Pediatric Multiple Sclerosis Center.
Stony Brook University is an Affirmative Action/Equal Opportunity employer. We are committed to the creation of a diverse and inclusive campus climate. We encourage protected veterans, individuals with disabilities, women and minorities to apply.
This function/position has been designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at email@example.com .
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Official Job Title: TH Staff Associate
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-Stony Brook
Department/Hiring Area: Revenue Integrity-Stony Brook University Hospital
Schedule: Full-time Shift: Day Shift Shift Hours: 8:00 AM - 4:00 PM (may vary) Pass Days: Sat, Sun
Posting Start Date: Aug 15, 2019
Posting End Date: Nov 14, 2019, 4:59:00 AM
Salary: Commensurate with experience
Salary Grade: SL4
Internal Number: 1902833
About Stony Brook University
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.