Salem Health

Clinical Review Specialist, Remote

5 days ago

Pay$62400.00 - $90750.40 / year
LocationSomerville/Massachusetts
Employment typeFull-Time
  • Job Description

      Req#: RQ4047643
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $90,750.40 annually
      - Comprehensive benefits package including career advancement opportunities and recognition programs
      - Remote work flexibility
      - Opportunity to make a significant impact on patient care and provider education
      - Supportive work environment that values professional growth

      What to Expect (Job Responsibilities):
      - Conduct timely pre-visit reviews of ambulatory encounters to identify HCC diagnoses and potential new conditions
      - Accurately interpret clinical information to inform diagnosis considerations
      - Educate providers on achieving diagnostic specificity for accurate patient condition documentation
      - Identify educational opportunities based on chart review themes and feedback
      - Collaborate with care teams to enhance medical record documentation and quality improvement efforts

      What is Required (Qualifications):
      - Minimum of three (3) to five (5) years’ experience in case management, outpatient coding, utilization review, or Clinical Documentation Improvement (CDI)
      - 2 years’ 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, including proficiency in Microsoft applications

      How to Stand Out (Preferred Qualifications):
      - Medical licensure (RN, PA, NP) preferred
      - Bachelor’s degree in a healthcare-related field preferred

      #HealthcareServices #RemoteWork #CareerGrowth #PatientCare #ClinicalDocumentationImprovement

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

      Salem Hospital is a non-profit, regional medical center located in Salem, Oregon, United States.

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