Clinical Documentation Specialist at Albany Medical Center

Department/Unit:AMHS - Clinical Documentation IntegrityWork Shift:Day (United States of America)Salary Range:$71612.39 - $110999.20Utilizes clinical expertise to assess clinical documentation concurrently and retrospectively; contributes to improvement of the overall completeness and quality of the documentation/medical record; collaborates extensively with physicians and other health care providers so that the clinical documentation reflects accurately the complexity of patients care; provides ongoing education to all healthcare providers regarding the importance of accurate documentation; collaborates with the HIM and the Quality Management departments; exhibits extensive knowledge of clinical documentation requirements and DRG assignment; supports timely accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomesEducation:Bachelors degree in nursing or health related degree is requiredMD DO MBBS or foreign educated medical graduate with advanced clinical practice experienceLicensure Certification & Registration:Valid CDI Certification such as CDIP or CCDS preferredValid Coding certification such as CCA or CCS preferredCurrent NYS RN license required for nursesIf a foreign educated medical graduate ECFMG certificate preferredExperience:Advanced clinical experience with extensive knowledge of complex disease processes and broad clinical practice experience in the inpatient and outpatient settings requiredCDI experience preferredAt least 5 years adult acute care practice experienceDemonstrated effective collegial communication with physicians other providers staff and leadership through direct discussion and written communicationsSkills Knowledge & Abilities:Excellent interpersonal and analytical skills.Must be able to function independently interpret information communicate with medical and clinical staff and both internal and external to the institutionAble to provide oral presentations both in person and virtuallyMust be motivated organized with excellent verbal written communication skills and conversant with adult professional learners.Ability to work independently and as a member of a team utilizing critical thinking skills.Demonstrated competence in data analysis and data interpretation.Knowledge of ICD-10 codes and coding guidelines.Ability to prioritize workflow and manage various initiatives.Demonstrated quality improvement knowledge/skills regarding workflow and productivity processesStrong speaking and writing skills requiredExcellent presentation skills requiredAble to produce reports in Microsoft Office components Word Power Point Excel and Access databasesThank you for your interest in Albany Medical Center!Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center its patients affiliates and partners including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a need to know and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts consistent with Albany Med Center policies and standards shall be made to ensure that information is adequately protected from unauthorized access and modification.Required Experience:IC Key Skills Environment,Ado,Carpentry,Drafting,Front Office Management,Airlines Employment Type : Full-Time Experience: years Vacancy: 1 Monthly Salary Salary: 71612 - 110999