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Mass General Brigham

Clinical Review Specialist

Mass General Brigham, Somerville, Massachusetts, us, 02145

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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.

Qualifications 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. Additional Job Details (if applicable) Remote Type Remote

Work Location 399 Revolution Drive

Scheduled Weekly Hours 40

Employee Type Regular

Work Shift 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.

EEO Statement: 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 Veterans 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

At Mass General Brigham, our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.