Documentation Improvement Specialist– Lawrence Community Health Services – Days and Weekends

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Documentation Improvement Specialist– Lawrence Community Health Services – Days and Weekends

Imagine a career with New York hospital, where people from around the world come for care of the highest caliber. At NewYork-Presbyterian Westchester Hospital, you’ll impact the lives of thousands while growing both professionally and personally. Discover how you can Make It Possible. Lawrence Community Health Services (LCHS) brings together an interdisciplinary team of nurses, social workers, therapists, and a Medical Director who works collaboratively to support patients and families throughout our community.

The Documentation Improvement Specialist plays a key role in ensuring accurate, high‑quality, and compliant clinical documentation across both Home Care and Hospice. Under the supervision of the Director of Patient Services, this role pre-codes referrals, reviews admission documentation, approves Plans of Care, collaborates with clinicians to improve accuracy, and supports weekend Intake operations. The specialist provides guidance, education, and feedback on OASIS and HOPE accuracy, regulatory requirements, and documentation best practices. This role supports key quality and compliance initiatives while serving as a clinical resource to interdisciplinary staff. This is a hybrid role, based at Lawrence Community Health Services, with a combination of on‑site and remote work as appropriate.

This is a full-time day shift opportunity that includes Weekends: Saturday: 8:00 AM – 2:00 PM and Sunday: 8:00 AM – 4:00 PM, On Weekdays (Hybrid): Monday: 10:00 AM – 5:30 PM, Tuesday: 10:00 AM – 6:00 PM, and Wednesday: 10:00 AM – 6:00 PM. Days Off: Thursday & Friday.

Key Responsibilities

• Perform concurrent and retrospective documentation review to ensure accuracy, completeness, and regulatory compliance.
• Review and approve Plans of Care for Home Care and Hospice.
• Collaborate with nurses, physicians, and other licensed independent practitioners to clarify and improve documentation.
• Support weekend Intake by reviewing referrals, coordinating weekend admissions, and communicating with clinical teams and hospital partners.
• Provide education and feedback to staff on documentation quality, OASIS scoring, ICD‑10 accuracy, and regulatory requirements.
• Assist with monitoring documentation trends and supporting quality improvement initiatives.
• Ensure documentation supports coding accuracy, service line metrics, and organizational goals.

Preferred Criteria

• If assigned to Rehabilitation: Current New York State Occupational Therapist or Physical Therapist License
• Home Care Oasis Certification
• ICD Coding certification

Required Criteria

• Bachelor’s Degree in Nursing
• If assigned to Rehabilitation: Bachelor’s Degree in Occupational Therapy or Physical Therapy (if not a Nurse with experience in the provision of rehabilitation services)
• Current Registered Nurse, Nurse Practitioner, or Physician Assistant license highly preferred
• 5 years of recent hospital acute care experience and/or verifiable Documentation Improvement experience
• Strong organizational, verbal, and written communication skills, orientation to accuracy and detail, and ability to relate to a variety of professional staff are essential

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

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• 2024 “Great Place To Work Certified”
• 2024 “America’s Best Large Employers” – Forbes
• 2024 “Best Places to Work in IT” – Computerworld
• 2023 “Best Employers for Women” – Forbes
• 2023 “Workplace Well-being Platinum Winner” – Aetna
• 2023 “America’s Best-In-State Employers” – Forbes
• “Silver HCM Excellence Award for Learning & Development” – Brandon Hall Group

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.