Clin Doc Specialist - Catholic Health

Clinical Documentation Specialist

Rockville Centre, NY

Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member of Catholic Health, which was voted a Top Workplace on Long Island for two consecutive year by Newsday. Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two in NY State to receive this prestigious award.

Qualifications:
Must have strong current clinical knowledge and be able to collaborate with healthcare professionals in an efficient effective professional manner.
Must be able to read, understand and apply ICD-10 official coding guidelines (after training).
Must have excellent communication skills, both verbal and written.
Demonstrated proficiency in Microsoft Word, Excel, Windows and Power Point required.

Education:
Registered Nurse (BSN preferred), Nurse Practitioner, Physician Assistant or MD licensed to practice in the State of New York, required.
CCDS certification required within 2 years of hire date

Skills: Chart review skills with ICD 10CM.PCS experience preferred.

Experience: Minimum of 5 years recent staff nurse clinical acute care in-patient experience required. Critical care experience preferred.

Duties/Responsibilities:
Conducts admission/continued stay reviews accurately using the coding guidelines documentation guidelines to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation exists.
Verifies DRG assignment with medical record documentation and consults with physicians on cases which require additional physician input. Facilitates and secures clarification of accurate clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payor.
Demonstrates knowledge of DRG payor issues, clinical documentation requirements and referral policies and procedures.
Perform clinical validation of ICD-10 CM/PCS codes after coding and prior to bill drop.

At Catholic Health your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition 

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.