Clinical Documentation Quality Improvement Coordinator-Quality Dept- FT Days Remote

The MSHS Clinical Documentation Quality Coordinator supports multiple acute care hospitals within the systems department for Clinical Documentation Quality Improvement (CDQI).

The Quality Coordinator is responsible for performing quality reviews on medical records to validate ICD -10 CM/PCS codes DRG appropriateness missed secondary diagnoses and procedures and ensure compliance and accuracy of the MS-DRG and APR DRG throughout the MS Health System. Also provides clinical documentation and coding education to Clinical Documentation Improvement (CDI) specialists medical staff midlevel providers and others. Remains accessible as a subject matter expert for MSHS regarding documentation reimbursement and data interpretation as it relates to inpatient records. The Clinical Documentation Quality Coordinator conducts the quality review of inpatient CDI cases queries assigned codes and working DRG and participates in process improvement activities based on audit results and hospital or institute performance improvement projects impacted by documentation.

of inpatient records to:

to assign the principal diagnosis pertinent secondary diagnosesand procedures for accurate and optimal DRG assignment;

of documentation to support quality standards including PSIsHACs ;

secondary diagnoses and procedures;

to achieve improved clinical documentation and accurate coding foroptimal allowable reimbursement;

reconciliation and inform HIM of any recommended coding changes.

and identifies trends and statistical significance in codingopportunities as well as CDI opportunities that will assist in theorganizational process of documentation improvement.

with the CDI HIM and Quality team to provide feedback ensuring codingconsistency and accuracy meeting the requirements of: ICD-10 CM/PCS UHDDS andsequencing guidelines Federal and State regulations American HospitalAssociation Coding Guidelines and Coding Clinic.

mentor new employees through the on-boarding process. Trains CDI staff oninitial CDI review and query process and provide on-going education related tonew topics in CDI coding and reimbursement.

to HIM management staff and CDI leadership regarding opportunities fordocumentation improvement and participates with the planning and development ofeducational programs directed towards improving documentation.

maintains compliant query templates as needed due to annual changes in theInpatient Prospective Payment System (IPPS) and AHA Official Coding Guidelinesand Coding Clinics.

CDI policies and guidelines in accordance with AHIMA Practice BriefsOfficial Coding Guidelines ACDIS standards and Coding Clinic.

the CDI Manager in the analysis of CDIS reports and other statisticalreviews.

the analysis of PSIs and HACs to ensure that the coding assignment wasproperly assigned based upon review of the medical documentation andapplication of coding guidelines.

confidentiality ofinformation acquired pertaining to patients physicians associates andvisitors to the Hospital. Discusses patient and hospital information only amongappropriate personnel in private places.

responsibility forperformance of job duties in the safest possible manner to assure personalsafety and that of co-workers and to report all preventable hazards and unsafepractices immediately to management.

for remainingcurrent with the latest healthcare technology and coding advice through readingavailable coding literature attendance of seminars and in-services internetresearch and other educational resources for inpatient and outpatientreimbursement and coding.

in educationprograms to maintain up to date coding skills.

meetsestablished productivity targets for work assignments.

in staff andmanagement meetings as they relate to HIM and CDI initiatives.

duties as assigned

• Bachelors Degree minimum (preferred: Nursing or Information Systems or related)
• Registered Health Information Administrator or Registered Health Information Technician or equivalent experience preferred
• 5 years of related experience (greater preferred) working in acute care hospital or similar setting
• Certified Coding Specialist Certification (CCS CCS-P) required

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $96461.00 - $144692.00 Annually. Actual salaries depend on a variety of factors including experience education and operational need. The salary range or contractual rate listed does not include bonuses/incentive differential pay or other forms of compensation or benefits.

Non-Bargaining Unit 331 - Clinical Document Mgnt - MSH Mount Sinai Hospital