Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Clinical Documentation Manager (CDM). The CDM is responsible for reviewing medical records to facilitate clinical documentation that accurately reflects the patient's severity of illness and risk of mortality by improving the quality of the physician's clinical documentation.
The successful candidate will demonstrate the following:
Foundational Skills: Review inpatient medical records for identified payer populations (Medicare, Medicaid, Blue Cross/Blue Shield, and others as designated) as directed on admission and throughout hospitalization.
Strategic Management: In collaboration with physician leadership, design and implement specific tools to support medical record physician documentation.
Human Resources Leadership Skills:
Oversee staff training and orientation.
Provide CDI program oversight end day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the patient medical record.
Perform QA of CDI work completed.
Develop and implement plans for both formal and informal education of physicians, nursing, and other clinical staff.
Relationship Management: Communicate with the attending physician and other relevant clinical staff, either verbally or through the written methodology.
Personal and Professional Accountability:
Maintain good rapport and cooperative relationships.
Approach conflict in a constructive manner.
Help identify problems, offer solutions, and participates in a resolution.
Career Planning: Ensure personal and professional growth through self-study/attendance/participation in seminars and workshops.
Fostering Professional Environment: Maintain the confidentiality of information acquired pertaining to patient physicians, associates, and visitors to the Medical Center.
Optimizing the Leader within/Reflective Practice Behaviors:
Behave in accordance with the mission vision and values of the Medical Center.
Demonstrate integrity, truthfulness, and fairness when working with others.
Create an environment of acceptance and respect in the workplace.
Integrate knowledge of cultural competence and inclusion in all daily practices such as assessment, documentation, communication, etc.
Shared Decision Making:
Work closely with HIM coding staff to assure documentation of discharge prognosis(es) and any coexisting co-morbidities are a complete reflection of the patient clinical status and care.
Contribute to organizational, departmental, and unit-based process improvement activities.
Demonstrate and maintain competency and accuracy in the use of software applications, including capability in Microsoft Office applications.
Clinical Practice Knowledge and Skill:
Conduct daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specifically.
Position Key Accountabilities:
Responsible for monitoring and directing the daily workflow of the CDI staff to ensure all roles are operating efficiently and effectively.
Serves as a mentor to staff and provides performance feedback and coaching for success at regular intervals.
Provides education to CDI staff, medical staff, and other leadership as needed.
Monitors bill hold for timely processing and release of CDI reviews.
Ensures departmental tracking logs/daily admissions and kept current with facility activities.
Represents CDI at internal and external meetings as required.
Ensures all educational material is accessible to staff and maintains regulatory compliance.
Responsible for mitigating CDI issues arising at the facility/department level.
Works with the CDI team and revenue cycle services members to resolve issues and provide resolutions.
Works with ERM support team to ensure proper documentation templates are created and as needed to assist Physicians.
Manages the Human Resources activities for direct reports and department staff in regards to recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, performance evaluations, and salary plan.
Performs other duties as needed.
Associate's Degree in a healthcare-related field.
Certified Coding Specialist (CCS) or Certified Clinical Documentation Specialist (CCDS).
Bachelor's Degree in a healthcare-related field preferred.
Monday to Friday; 9:00am to 5:00pm
Commensurate with experience and qualifications
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.
Equal Employment Opportunity Statement:
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at 718-270-3025.
Internal Number: 494728
About SUNY Downstate Health Sciences University
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.