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New York City

    Medical Records Specialist - New York, United States - NYC Health Hospitals

    NYC Health Hospitals
    NYC Health Hospitals New York, United States

    1 day ago

    Default job background
    Description
    Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages.

    At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

    Work Shifts

    8:00 A.M - 4:00 P.M

    Job Description

    1) Complete concurrent reviews of patient records to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, post admission complications and procedures for accurate Diagnosis-Related Group (DRG) assignment and Case Mix Index (CMI), risk of mortality, and severity of illness.

    2) Queries physician for incomplete, inconsistent, unclear or conflicting documentation to clarify and resolve conflicting information in the medical record prior to discharge and or billing.

    a) Maintains a record of review and query activities and other appropriate records.

    b) Reconcile DRG mismatch CDIS Staff prior to submission of cases for billing.

    c) Communicate with CDIS & Validation Staff on clarification of clinical criteria needed to support documentation in the record.

    3)Attends and/or participates in staff departmental and interdisciplinary meetings, process improvement events, training and quality assurance/performance improvement activities.

    4) Performs other related work, as assigned by supervisor.

    Minimum Qualifications
    1. High School diploma or its educational equivalent; and
    2. Completion of a coding, medical record technology or health information technology
    program approved by the American Health Information Management Association
    (AHIMA); or
    3. Possession of a valid certificate as a Certified Coding Specialist (CCS) from the
    American Health Information Management Association (AHIMA); or
    4. Two (2) years of satisfactory experience in coding and abstracting medical records in a
    recognized hospital or health care organization.

    NYC Health and Hospitals offers a competitive benefits package that includes:
    • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
    • Retirement Savings and Pension Plans
    • Loan Forgiveness Programs for eligible employees
    • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
    • College tuition discounts and professional development opportunities
    • Multiple employee discounts programs
    Vacancy Control Board Number

    VCB #: CON
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