Mass General Brigham
Clinical Review Specialist, Remote
5 days agoWhat's your preference?
Job Description
- Req#: RQ4047643
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $90,750.40 annually
- Comprehensive benefits package including health insurance, retirement plans, and bonuses
- Opportunity for career advancement and professional growth within the organization
- Flexible work environment with remote work options
- Supportive team culture focused on education and collaboration
- Chance to contribute to improving patient care and medical documentation quality
What to Expect (Job Responsibilities):
- Conduct pre-visit reviews of selected ambulatory encounters to identify opportunities for medical condition recapture
- Accurately interpret clinical information to identify potential diagnoses and communicate findings to providers
- Identify educational opportunities through chart reviews and provide feedback to enhance provider documentation
- Collaborate with care teams to improve medical record documentation and maintain compliance
- Stay updated on coding guidelines and maintain required clinical licensure and credentials
What is Required (Qualifications):
- Minimum of three (3) to five (5) years of experience in case management, outpatient coding, utilization review, or Clinical Documentation Improvement (CDI)
- Experience in Primary Care, medical coding, risk adjustment, or CDI preferred
- Current certification in Clinical Documentation Improvement (CDIP, CCDS, CCDS-O, or CDEO) preferred
- Certification in medical coding and/or risk adjustment (e.g., CRC, CPC, CCS) preferred
- Strong PC skills with proficiency in Microsoft Office applications
How to Stand Out (Preferred Qualifications):
- 2 years of experience in Primary Care, medical coding, risk adjustment, or CDI
- Medical licensure (RN, PA, NP) preferred
- Bachelor’s degree in a healthcare-related field preferred
#HealthcareServices #ClinicalDocumentation #CareerOpportunity #RemoteWork #PatientCare
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