Clinical Review Specialist
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Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 62400 - 90750
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
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
Bachelors Degree Nursing preferred or Bachelors 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
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$62400.00 - $90750.40/AnnualGrade
6EEO Statement:
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.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
