Clinical Review Specialist chez Massgeneralbrigham

Site: Mass General Brigham Incorporated

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

Summary:

Assess the medical necessity and appropriateness of healthcare services provided to patients.

Does this position require Patient Care? No

Essential Functions:
Review medical records and treatment plans to ensure that they align with established guidelines and standards.

-Participates in department quality improvement initiatives.
-Reviews and applies analytical skills to designated patient population medical record documentation to assess the level of documentation accuracy and completeness.
-Provides clinician-specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes.

 

Education
Bachelor's Degree Nursing preferred or Bachelor's Degree Related Field of Study preferred

Can this role accept experience in lieu of a degree?
Yes

Licenses and Credentials

Experience

Clinical Documentation Improvement (CDI) specialist training, including clinical coding knowledge 3-5 years required and Experience with chart reviews in electronic medical records, clinical data, supporting or leading work around quality and improvements and creating and/or presenting education material 2-3 years required

Knowledge, Skills and Abilities
- Review medical records and treatment plans to ensure that they align with established guidelines and standards.
- Participates in department quality improvement initiatives.
- Reviews and applies analytical skills to designated patient population medical record documentation to assess the level of documentation accuracy and completeness.
- Provides clinician-specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes.

 

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

 

Pay Range

$62,400.00 - $90,750.40/Annual

 

Grade

6

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

 

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework

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