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NewYork-Presbyterian HospitalPosted 10/21/2026full-timeNew York City • New York • United StatesMid-LevelSenior💰 $101,000 - $151,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical record documentation improvement, including coding, billing, and regulatory requirements. Proven ability to educate healthcare professionals and facilitate continuous improvement processes in a clinical setting.
Highest-signal resume keywords
Documentation Improvement ExperienceElectronic Medical Record (EMR) ExperienceRegistered Nurse LicenseCoding and Billing KnowledgeClinical Education Skills
About the role
Key responsibilities & impact- Facilitate improvement of medical record documentation through concurrent and retrospective interventions
- Interact with and educate physicians, residents, and other licensed independent practitioners
- Develop processes to identify documentation improvement opportunities
- Intervene with attending physicians, residents, and physician extenders
- Provide routine in-services on regulatory documentation requirements and clinician documentation impacts on Service Line metrics
- Maintain records and databases quantifying documentation deficits, interventions, and impact
- Conduct interventions and ensure follow-through on recommendations
- Identify, investigate, and evaluate practices and processes for continuous documentation improvement
- Participate in retrospective medical record reviews to collect data and resolve coding or documentation discrepancies
- Maintain knowledge of coding, billing, documentation guidelines, and third-party payer requirements
- Collaborate with the Manager of Coding Unit
- Educate therapy staff and clinicians on correct billing, coding, and documentation
- Perform other job-related duties as assigned
Requirements
What you’ll need- Bachelor's degree
- Registered Nurse, Nurse Practitioner, Occupational Therapist, Physical Therapist, Physician Assistant, or trained Physician background
- 5 years of recent hospital experience and/or verifiable Documentation Improvement experience
- Experience in an Electronic Medical Record (EMR) environment
- Ability to work on-site 4–5 days per week in Queens / within a commutable distance to NYP
- Registered Nurse with 2 years of CDI experience preferred
- Bachelor’s Degree in Nursing preferred
- Current Registered Nurse, Nurse Practitioner, or Physician Assistant license highly preferred
Benefits
Comp & perks- Comprehensive and competitive benefits supporting employees and their families
- Recognition for experience, education, and licensure in compensation packages
- Opportunities for personal and professional growth
- Dynamic and inclusive work environment
- Employee engagement, respect, belonging, and inclusion culture
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record DocumentationDocumentation Improvement ProcessesData Collection and AnalysisRegulatory Documentation RequirementsCoding GuidelinesBilling PracticesIntervention StrategiesDocumentation Deficit QuantificationRetrospective Medical Record ReviewsContinuous Improvement Practices
Soft Skills
Interpersonal CommunicationCollaborationEducation and TrainingProblem-SolvingLeadership
Tools & Technologies
Electronic Medical Record (EMR) SystemsDatabases for Documentation Tracking
Certifications & Qualifications
Registered NurseNurse Practitioner LicensePhysician Assistant License
Industry Keywords
HealthcareClinical Documentation Improvement (CDI)Service Line MetricsThird-Party Payer RequirementsHospital Experience