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RN Clinical Documentation Improvement Director - 10K Sign On Bonus !!

UnitedHealth Group

Staten Island, NY
Job Code:
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RN Clinical Documentation Improvement Director - 10K Sign On Bonus !!(Job Number:702063)

$10,000 Sign On Bonus!!!
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
The Director, Clinical Documentation Improvement directs the activities of the Clinical Documentation Improvement (CDI) department. They facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through extensive concurrent interaction with physicians, nursing staff, caregivers, case management, and medical records coding staff.
This position will be working onsite at North Shore University Hospital in Manhasset, LIJ in New Hyde Park or Staten Island University Hospital 
Primary Responsibilities:
  • Ensures clinical documentation, including modifications, accurately reflect the level of service rendered and severity of illness (in compliance with government and other regulations) for all patients
    • Oversees a system to identify admissions with specific diagnosis / DRG classifications or other categories of admissions
    • Ensures chart review within 48-72 hours of admission to meet criteria
    • Ensures periodic documentation review with cases that have a length of stay greater than 3 days
  • Ensures follow up reviews of clinical documentation are conducted by CDS staff to evaluate whether issues discussed and clarified with the physician have been recorded in the patient’s chart
  • Ensures recommendation of possible refinement of principal diagnosis based on Clinical data on admission and concurrently during the hospital stay to facilitate appropriate DRG assignment
  • Interacts with physician regarding documentation appropriate to diagnosis and support appropriate levels of severity of illness and risk of mortality
  • Monitors tracking response to CDI and trending completion of DRG worksheets via reports generated by Clinical Documentation Specialists (CDS)
  • Serves as a resource to Physicians / Case Managers and other key professional staff in matters relating to published DRG information
  • Works with medical records, finance and physician groups to develop systems to facilitate complete documentation for data reporting purposes
  • Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action
  • Develops and manages direct reports; and oversees the development and management of indirect reports
  • Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations
  • Oversees compliance with government and agency regulations
  • Performs related duties, as required

Job Clinical Administration
Primary Location US-NY-Staten Island
Other Location US-NY-Manhasset
Organization O360 Northwell Middle Ops
Schedule Full-time
Number of Openings 2
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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