CLINICAL DOCUMENTATION MANAGER CMO

Montefiore Medical Center

Yonkers, NY

JOB DETAILS
SALARY
$128,848.20–$161,060.25 Per Year
SKILLS
Acute Care, Certified Coding Specialist (CCS), Clinical Outcomes, Clinical Study Publications, Communication Skills, Computer Operations, Computer Software, Disease, Epic Systems, Genetics, Hospital, ICD-10, Medical Coding, Medicine, Microsoft Excel, Microsoft Word, Military, Natural Language Processing (NLP), Network Performance/Analysis, Nursing, Patient Care, People Management, Quality Management, Reimbursement, Training Program Development
LOCATION
Yonkers, NY
POSTED
30+ days ago

City/State:

Tarrytown, New York

Grant Funded:

No

Department:

REV - CDI Program

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

7:30 AM-4 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$128,848.20-$161,060.25

This position is responsible for managing software frameworks for improved severity, quality, and financial outcomes from Clinical Documentation associates, external programs,and departments ( HIM, Network Performance Group, Acute Care Services etc.) in order to meet organizational fiscal and clinical objectives. This position requires exemplary coding, clinical expertise and documentation, and communication skill sets.

THIS POSITION MANAGES THE STAFF WHO ARE DIRECTLY PERFORMING CHART REVIEWS FOR THE PURPOSES OF IMPROVING OVERALL QUALITY AND COMPLETENESS OF CLINICAL DOCUMENTATION SO IT BEST REFLECTS A PATIENT'S SEVRITY OF ILLNESS AND RISK OF MORTALITY. THESE MANAGERS PERFORM REVIEWS OR HAVE OVERSIGHT OF THEIR DIRECT REPORTS WHO PERFORM REVIEWS WITH THE GOALS OF SUPPORTING APPROPRIATE REIMBURSEMENT AND THE IMPACT ON HOSPITAL QUAITY PERFORMANCE DATA.

  • This position also plans, develops, implements, evaluates and updates clinical documentation education programs and ongoing development of the Montefiore Medical Center's Clinical Documentation Integrity program.

Qualifications:

  • Bachelors degree in Medicine, Nursing or HIM Required - Masters Preferred
  • 10 years of work experience with Coding and Reimbursement as well as Clinical Pathways Required
  • 7-10 years of progressive management experience Required
  • CCS, CCDS, or CDIP Required
  • Advanced clinical knowledge of disease processes and clinical practice
  • Expert level of inpatient ICD10 CM & PCS
  • Experience with 3M 360 Computer Assisted Coding, 3M 360 Natural Language Processing, 3M 360 CDIS software, and 3M 360 Report generation proficiency Required
  • Knowledge and expertise in computer and software operations, including, but not limited to Microsoft Word and Excel.
  • Knowledge of EPIC enterprise system preferred.
  • Knowledge of coding guidelines for ICD 10
  • The ideal candidate takes Initiative, is dependable and resourceful

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

About the Company

M

Montefiore Medical Center

About Montefiore Medical Center

Commitment to Excellence

As the academic medical center and University Hospital for Albert Einstein College of Medicine, Montefiore Medical Center is nationally recognized for clinical excellence—breaking new ground in research, training the next generation of healthcare leaders, and delivering science-driven, patient-centered care.

Montefiore is ranked among the top hospitals nationally and regionally by U.S. News & World Report. For more than 100 years we have been innovating new treatments, new procedures and new approaches to patient care, producing stellar outcomes and raising the bar for medical centers in the region and around the world. As we build on this momentum, we continue to advance the practice of medicine and set the standard for excellence.

Enduring Mission and Distinguished History

The mission of Montefiore is to heal, to teach, to discover and to advance the health of the communities we serve.

From its beginning in 1884, as a facility for the care of patients with tuberculosis and other chronic illnesses, to the new millennium, Montefiore has been at the forefront of patient care, research and education and steadfast commitment to its community.

Our Services

We provide coordinated, compassionate and leading-edge care designed to reach people when and where they need it most. Through highly integrated teams of physicians, nurses, social workers, mental health professionals and other caregivers, we have created an innovative, seamless system of care focused around the patient.

Notable Centers of Excellence

At the intersection of Einstein science and Montefiore medicine is our commitment to scientific inquiry. This commitment has resulted in the creation of the Montefiore-Einstein Centers of Excellence in cancer care, cardiovascular services, transplantation and children’s health, where nationally recognized investigators and multidisciplinary clinical teams collaborate to develop and deliver advanced, innovative care.

Advanced Specialty and Surgical Care

We offer advanced, multidisciplinary care across specialties, delivering one standard of excellence for all. Our interventions are designed to help patients understand and manage their illness, advocate for their health, access the right treatments and receive the vital social support they need to flourish. On multiple fronts, Montefiore is developing more effective and less invasive approaches to complex problems from procedures to repair diseased hearts, protocols to treat complex cancers and medical devices designed to meet the needs of growing children.

Primary Care

With nearly 50 primary care locations throughout the New York metropolitan area, we are focusing on accessible, patient-centered primary and preventive care provided by leading physicians in the areas of family and internal medicine, pediatrics, obstetrics and gynecology, and a team of experts in nursing, health education, nutrition and pharmacy.

Providing Care Without Walls

Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people in locations easiest for them. Through Montefiore’s School Health Program (MSHP), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings.

Through the formation of highly integrated teams of physicians, nurses, social workers, mental health professionals, care managers and other caregivers, we provide care around the patient, when and where they need it.

Research and Education

Montefiore's partnership with Einstein advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Together, the two institutions are among 38 academic medical centers nationwide to be awarded a prestigious Clinical and Translational Science Award (CTSA) by the National Institutes of Health.

The second-largest medical residency program in the country, with 1,251 residents and fellows across 89 programs, Montefiore provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country — one where the population is global, the disease burden is high, and the need for quality care is great.

The partnership is further strengthened by the dual appointments of faculty and physicians across both organizations—enhancing synergies and collaborations for research, teaching and patient care.

Comprehensive Care Management

Since 1996, Montefiore has developed advanced models of care management to help patients, especially those with chronic diseases such as diabetes, heart failure and mental illness, achieve better health and improved wellbeing in a cost effective way. Montefiore goes beyond fragmented fee-for-service payments, assuming total responsibility for the quality and costs of care for some of our sickest patients.

Through CMO, Montefiore Care Management, we use a global prepayment or similar strategies to manage care for 200,000 individuals over the continuum, including hospital care, rehabilitation, outpatient care, professional services, home care, mental health counseling, community-based services, remote patient monitoring and many other programs.

Our leadership in coordinating care across multiple settings has earned us federal recognition from the Centers for Medicare and Medicaid Services as a Pioneer Accountable Care Organization. Montefiore's ACO is one of only 32 organizations in the nation, as well as the only one in New York State, to operate under this new model of providing Medicare beneficiaries with higher quality care, while reducing expenditures through enhanced care coordination.

Learn More

  • Mission, Vision and Values – Montefiore’s unique path of growth into the future and the clinical excellence and outstanding customer care that will get us there.
  • History and Milestones – Proud traditions guiding our mission and the moments that helped shape Montefiore into a premier academic medical center.
  • Commitment to the Community – Community health, education and neighborhood development.
  • Leadership – Executives and clinical chairs leading Montefiore’s advancements.
  • Physicians – Widely acclaimed medical professionals and specialists who provide our patients with the highest standards of care.
  • Nursing Staff – Highly competent and compassionate professionals committed to improving the health of their patients.
  • Ways to Give – Philanthropic opportunities and other ways to support Montefiore Medical Center.
COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
WEBSITE
http://www.montefiore.org/