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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.
Responsibilities
1.Performreviews of inpatient records to:
a.Evaluatedocumentation to assign the principal diagnosis, pertinent secondary diagnoses,and procedures for accurate and optimal DRG assignment;
b.Evaluateappropriateness of documentation to support quality standards including PSIs,HACs ;
c.Identifymissed secondary diagnoses and procedures;
d.Queryclinicians to achieve improved clinical documentation and accurate coding foroptimal allowable reimbursement;
e.PerformDRG reconciliation and inform HIM of any recommended coding changes.
2.Analyzereports and identifies trends and statistical significance in codingopportunities as well as CDI opportunities that will assist in theorganizational process of documentation improvement.
3.Workclosely 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.
4.Educateand 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.
5.Providefeedback to HIM management staff and CDI leadership regarding opportunities fordocumentation improvement and participates with the planning and development ofeducational programs directed towards improving documentation.
6.Developand maintains compliant query templates as needed due to annual changes in theInpatient Prospective Payment System (IPPS) and AHA Official Coding Guidelinesand Coding Clinics.
7.GenerateMSHS CDI policies and guidelines in accordance with AHIMA Practice Briefs,Official Coding Guidelines, ACDIS standards and Coding Clinic.
8.Collaboratewith the CDI Manager in the analysis of CDIS reports and other statisticalreviews.
9.Assistwith 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.
10.Maintain confidentiality ofinformation acquired pertaining to patients, physicians, associates, andvisitors to the Hospital. Discusses patient and hospital information only amongappropriate personnel in private places.
11.Assumes 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.
12.Responsible 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.
13.Participates in educationprograms to maintain up to date coding skills.
14.Consistently meetsestablished productivity targets for work assignments.
15.Participates in staff andmanagement meetings as they relate to HIM and CDI initiatives.
16.Other duties as assigned
Qualifications

• 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 $96,461.00 - $144,692.00 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
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Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
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