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NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org , a nd interact with us on LinkedIn , Glassdoor , Indeed , __Facebook , Twitter , YouTube and Instagram .

Position Summary:
nWe have an exciting opportunity to join our team as a Manager-Clinical Data Integrity.

In this role, the successful candidate provides guidance for both internal and remote coding staff with training, coding compliance reviews, regulatory issues and monitoring of accounts receivable issues related to coding.. Works closely with Patient Financial Services (PFS), Clinical Documentation Improvement Program and other services to assist and/or coordinate in resolving account, coding, and charge capture issues. Manages the conversion of clinical documentation into data and information and the reporting of this coded data to internal users such as Clinical Departments, Patient Financial Services, Admitting and external agencies such as IPRO, MedReview, NYCHPRO and other agencies as required. Ensures that coding practices and processes comply with applicable regulatory guidelines and requirements. Participates in the special projects when necessary.

Job Responsibilities:

· Provides guidance and expertise in ICD-10 and CPT-4 coding systems as well as MS-DRG, APR DRG, APC and APG. Provides leadership and expertise in data query and reporting. Manages the conversion of clinical documentation into meaningful data. Responsible for information reporting to internal and external users. Understands the general flow of health information from discharge, coding, billing and data reporting. Assists the Directors of Coding and CDI in implementing of efficient workflows and practices.

· Conduct routine internal audits of coded data and physician documentation, report the results and recommend corrective action as needed.

· Develops materials and/or educational sessions to provide feedback and revenue cycle compliance training to clinicians, HIM professionals, and other hospital employees.

· In collaboration with Directors of CDI and Coding identifies area that will require extensive physician education.

· Assists the Director of Coding with developing and maintaining of coding and documentation quality and compliance program. Ensures that coding process and guidelines meet State and Federal requirements and standards. Works with the medical staff to continuously improve clinical documentation to facilitate accurate coding. Enforces the use of physician query when appropriate.

· Identifies potential compliance risks and offer recommendations for preventive and quality improvements.

· Identifies patterns and opportunities for improvement through participation in hospital initiatives, such as Quality Initiatives, Clinical Documentation Improvement Program, Compliance, and results of outside audits, such as RAC reviews.

· Provides consultative advice to outpatient and ancillary departments as well as Patient Financial Services regarding their coding questions and needs. Acts as liaison with hospital personnel and outside agencies on code assignments and resolves operational problems.

· Meets performance standards by setting goals and objectives, prioritizing work, and using available resources efficiently and effectively.

· Stays current on new practices and regulations; evaluates risks from external reports such as PEPPER reports and facilitates action plans with departments and sites, as appropriate.

· Stays abreast of the latest developments, advancements, and trends in the field of Coding and Reimbursement by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and maintaining certification or licensure. Integrates knowledge gained into current work practices.

Minimum Qualifications:

Bachelors Degrees and a minimum of five years of experience working in HIM/revenue cycle compliance in a consulting capacity or in a hospital setting.

· In-depth knowledge and understanding of hospital billing and compliance procedures, including healthcare documentation and auditing, are required.

· CCS Certification

Preferred Qualifications:

· Graduation from an accredited Health Information Management program with RHIT or RHIA Credential.

· 2 + years of progressive management experience in the acute care academic medical center.

· AHIMA ICD-10 training certification

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
nIf you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit for more information.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $92,065.99 - $137,114.67 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

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