Clinical Documentation Specialist
bronxcare health systemBronx, NY
Clinical Documentation Specialist
bronxcare health systemBronx, NYSenior L5
Medical Records SpecialistsHealthcare Diagnosing or Treating Practitioners, All OtherHealth Information Technologists and Medical Registrars
General Medical and Surgical HospitalsOffices of Physicians (except Mental Health Specialists)All Other Miscellaneous Ambulatory Health Care Services
APPLY NOWClinical Documentation SpecialistThe Clinical Documentation Specialist (CDS) at BronxCare Health System plays a critical role in ensuring the accuracy, completeness, and integrity of patient medical records. This position serves as a key liaison between clinical staff, coding professionals, and administrative teams to support high-quality documentation that reflects the severity of illness, risk of mortality, and complexity of care delivered. The CDS contributes directly to improved patient outcomes, regulatory compliance, and appropriate reimbursement.
Responsibilities:
Establish and maintain positive relationships with patients, visitors and other employees. Interacts professionally, courteously, and appropriately with patients, visitors, and other employees. Behave in a manner consistent with maintaining and furthering a positive public perception of BronxCare Health System and its employees.
Contribute to and participate in the Performance/Quality Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with corrective/improvement activities, membership on CQI teams, consistent adherence to established performance standards and: adherence to the specific rules and regulations of the BronxCare Health System's Safety & Security Policies; Risk Management: Incident and Occurrence Reporting; Infection Control Policies and Procedures; Patient and Customer Service.
Coordinates and maintains all elements of the Clinical Documentation Improvement Program in order to meet the goals and objectives of the organization and its stakeholders
Meet CDI program objectives, goals, and balance scorecard metrics.
Ensures timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
Ensure effective communication with key stakeholders.
Analyzes data, creates reports to meet desired outcomes.
Identifies trends and opportunities for improvement in clinical documentation
Meets program quality and productivity guidelines and standards.
Collaborates with coding professionals to fully support the needs of clinical code assignment, communicates proficiently with coding professionals to resolve identified discrepancies.
Work effectively with CDI team members to accomplish departmental goals.
QualificationsRequirements:
Foreign medical graduates or students from accredited program.
MD
Minimum of 1 year experience within a patient care environment.
Basic computer skills including Microsoft Office
Excellent verbal and written communication
Must be able to work in a high-volume team environment
Detailed oriented
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Level
Senior L5
Location
Bronx, NY
Occupation
Medical Records Specialists
Industry
General Medical and Surgical Hospitals
Posted
2 days ago