With an annual budget of $1.6 billion and more than 6,000 employees throughout the five boroughs, the New York City Department of Health and Mental Hygiene (NYC DOHMH) is one of the largest public health agencies in the world, serving 8 million New Yorkers from diverse ethnic and cultural backgrounds. We're tackling a broad range of public health issues with innovative policies and programs and getting exceptional results, but our work is never finished. The breadth of our innovative programs provides the widest range of choices for every member of our team.
The Bureau of Vital Statistics (BVS) registers, amends, processes, and analyzes all vital events that occur in New York City while also issuing certified copies of certificates to the public. Vital events include births, deaths, and spontaneous and induced terminations of pregnancy. To do this, BVS provides an electronic vital events registration system known as eVital. It also enables the collection of data used for epidemiologic research of New York City (NYC) vital events and allows calculation of critical measures such as life expectancy, mortality rate, birth rate, and leading causes of death. eVital is used by hospitals, funeral homes, and the Department of Health and Mental Hygiene (DOHMH) users and is continually being enhanced to improve operational efficiency, customer service, and meet the policy and scientific goals of DOHMH. The Bureau of Vital Statistics is looking for a Nosologist to be a part the Office of Integrated Electronic Records (OIER) to code the causes of death mortality data and advance efforts to incorporate best practices in nosology into eVital and systems used to better understand deaths.
Summary of Position:
This is an opportunity for a highly motivated individual to join the Bureau of Vital Statistics (BVS) as a Nosologist. The successful candidate will code cause of death text on death certificates (literals) from the daily mortality files (death and spontaneous termination of pregnancy), conduct surveillance efforts for reportable diseases and conditions, review data entry of paper certificates and anomalies in COD and geocoded data values, and systematically apply nosology principles to the development and enhancement of computer systems.
The NYC mortality data are analyzed both locally by BVS and other NYC Health Department programs as well as submitted to the National Center for Health Statistics (NCHS). The contributions of the nosologists are critical to our ability to report disease trends locally in the timeliest manner.
The ongoing focus of the work in this unit has been to make the required processes as efficient and automated as possible with the end goal of providing timely and accurate mortality data for analysis and surveillance reporting. The Nosologist will be a part of the Office of Integrated Electronic Records and work closely with the Data Operations team and Quality Improvement Units. The Nosologist will also work on implementing and evaluating new nosology software, adopting STEVE software for file exchange and evaluation of FHIR based data exchange with NCHS and local surveillance programs.
Specifically, the Nosologist will:
• Review, code and process daily, mortality files; assign the applicable World Health Organization (WHO) International Classification of Disease (ICD.10) code(s) to the causes of death (COD) literal as entered by the medical reporter.
• Utilize existing nosology software which automatically codes the majority (70%) of the records and participate in the development of new nosology software applications.
• Manually review and code the remaining COD literals and integrate into the electronic file and back into the eVital system.
• Integrate coded files back into the eVital system so that analysts downstream can utilize the coded data.
• As part of surveillance efforts, the Nosologist will alert Health Department colleagues of deaths due to reportable conditions and provide consultation to the Quality Improvement Unit.
• Contribute to informatics and data modernization projects including optimization of mortality coding and building interfaces with electronic health records.
Qualifications and Requirements:
1. A baccalaureate degree from an accredited college and two years of experience in community work or community centered activities in an area related to the duties described above; or
2. High school graduation or equivalent and six years of experience in community work or community centered activities in an area related to the duties as described above; or
3. Education and/or experience which is equivalent to "1" or "2" above. However, all candidates must have at least one year of experience as described in "1" above.
• Experience and knowledge in mortality coding (nosology) using ICD.10 codes.
• At least 5 years of medical coding experience.
• Familiarity with current published ICD.10 CM codes set by the World Health Organization.
• Awareness and knowledge of Nosology software such as SuperMicar and/or Iris software.
• Excellent attention to detail and is meticulous.
• Be able to maintain a high level of productivity and quality output that supports the workload of the unit and director requests.
• Familiarity with relational databases, design, and dependencies.
• Familiarity with system interoperability protocols and standards (HL7, XML, file standards).
• Experience with data analysis.
• Strong organizational and time management skills, with good follow-through to complete assignments within specified timeframes.
• Experience or interest in the field of medical informatics.
• Excellent communication and writing skills.
• Proven analytical and problem-solving skills.
NOTE: All applicants must comply with PHS’ vaccination policy. By September 20, 2021, employees will be required to either provide verification that they are fully vaccinated against COVID-19 (with an FDA-authorized vaccine) OR provide a weekly record of a negative Polymerase Chain Reaction (PCR) test.
PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, lesbian, gay, bisexual and transgender individuals, and veterans.
Valid through: 11/17/2021