Maimonides Medical Center
About Us
We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. Overview
Maimonides is currently seeking a Clinical Documentation Specialist for its Population Health and Ambulatory Health departments.
Responsibilities
Report to the SVP, Ambulatory Health Systems and Population Health, the Clinical Document Improvement (CDI) Specialist Coordinate with Finance and hospital and ambulatory providers to improve the quality and accuracy of clinical documentation. Focus on Hierarchical Condition Category (HCC) coding the CDI Specialist supports compliant, efficient billing and coding processes. Work collaboratively with providers, coders, and billing teams to ensure documentation accurately reflects patient complexity and supports proper claim submission and reimbursement. Perform thorough, methodical chart reviews according to department review process Comprehensively review all physician and clinical documentation, lab results, diagnostic information, treatment plans and documentation from nurses, physical therapy, nutrition, etc. to identify potential opportunities for documentation improvement. Complete initial reviews on assigned cases within 48-72 hours (business days) to identify potential documentation improvement opportunities Compose clinical documentation queries that are compliant with CMS and AHIMA guidelines Stay updated on changes to coding regulations, CMS guidelines, and payer policies related to documentation and reimbursement. Participate in internal audits, quality assurance initiatives, and data analysis to support organizational performance goals. Qualifications
Associate's or Bachelor's degree in Nursing, Health Information Management, or a related field preferred. Equivalent combination of education and relevant experience will be considered in lieu of a degree. Certification required as Clinical Documentation Improvement Specialist CCDS (ACDIS) or Certified Documentation Improvement Professional CDIP (AHIMA) preferred. Certified Coding Specialist CCS preferred. RHIA, RHIT credentials with CCS or other coding certification.
New hires must obtain coding certification within one (1) year of hire.
Two or more years of experience in clinical documentation improvement, medical coding, utilization management, or related healthcare documentation roles. Strong working knowledge of HCC coding, ICD-10-CM, and CMS risk adjustment methodologies. Working knowledge of outpatient coding and documentation integrity Basic knowledge of reimbursement methodology, including Medicare MSDRG (CC/MCC), Medicaid APRDRG (SOI/ROM) and third-party payers Experience working in value-based care or risk adjustment-focused environments. Excellent communication, analytical, and problem-solving skills. Proficiency in EHR systems and clinical documentation tools
Pay Range
USD $73,246.00 - USD $80,000.00 /Yr. Equal Employment Opportunity Employer
Maimonides Medical Center (MMC) is an equal opportunity employer . All qualified individuals are encouraged to apply and will receive consideration without regard for race, creed (religion), color, sex, national origin, ethnicity, sexual orientation, gender identity, military or veteran status, age, disability, pregnancy, predisposing genetic characteristic, marital status or domestic violence victim status, citizenship status, or any other factor which cannot lawfully be used as a basis for an employment decision in accordance with applicable federal, state, and local laws. MMC is committed to following the requirements of the New York State Human Rights Law with regard to non-discrimination on the basis of prior criminal conviction and prior arrest.
We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. Overview
Maimonides is currently seeking a Clinical Documentation Specialist for its Population Health and Ambulatory Health departments.
Responsibilities
Report to the SVP, Ambulatory Health Systems and Population Health, the Clinical Document Improvement (CDI) Specialist Coordinate with Finance and hospital and ambulatory providers to improve the quality and accuracy of clinical documentation. Focus on Hierarchical Condition Category (HCC) coding the CDI Specialist supports compliant, efficient billing and coding processes. Work collaboratively with providers, coders, and billing teams to ensure documentation accurately reflects patient complexity and supports proper claim submission and reimbursement. Perform thorough, methodical chart reviews according to department review process Comprehensively review all physician and clinical documentation, lab results, diagnostic information, treatment plans and documentation from nurses, physical therapy, nutrition, etc. to identify potential opportunities for documentation improvement. Complete initial reviews on assigned cases within 48-72 hours (business days) to identify potential documentation improvement opportunities Compose clinical documentation queries that are compliant with CMS and AHIMA guidelines Stay updated on changes to coding regulations, CMS guidelines, and payer policies related to documentation and reimbursement. Participate in internal audits, quality assurance initiatives, and data analysis to support organizational performance goals. Qualifications
Associate's or Bachelor's degree in Nursing, Health Information Management, or a related field preferred. Equivalent combination of education and relevant experience will be considered in lieu of a degree. Certification required as Clinical Documentation Improvement Specialist CCDS (ACDIS) or Certified Documentation Improvement Professional CDIP (AHIMA) preferred. Certified Coding Specialist CCS preferred. RHIA, RHIT credentials with CCS or other coding certification.
New hires must obtain coding certification within one (1) year of hire.
Two or more years of experience in clinical documentation improvement, medical coding, utilization management, or related healthcare documentation roles. Strong working knowledge of HCC coding, ICD-10-CM, and CMS risk adjustment methodologies. Working knowledge of outpatient coding and documentation integrity Basic knowledge of reimbursement methodology, including Medicare MSDRG (CC/MCC), Medicaid APRDRG (SOI/ROM) and third-party payers Experience working in value-based care or risk adjustment-focused environments. Excellent communication, analytical, and problem-solving skills. Proficiency in EHR systems and clinical documentation tools
Pay Range
USD $73,246.00 - USD $80,000.00 /Yr. Equal Employment Opportunity Employer
Maimonides Medical Center (MMC) is an equal opportunity employer . All qualified individuals are encouraged to apply and will receive consideration without regard for race, creed (religion), color, sex, national origin, ethnicity, sexual orientation, gender identity, military or veteran status, age, disability, pregnancy, predisposing genetic characteristic, marital status or domestic violence victim status, citizenship status, or any other factor which cannot lawfully be used as a basis for an employment decision in accordance with applicable federal, state, and local laws. MMC is committed to following the requirements of the New York State Human Rights Law with regard to non-discrimination on the basis of prior criminal conviction and prior arrest.