Clinical Document Specialist, RN

🔥 7 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $91.6k - $164.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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UMass Memorial Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1884

⚕️ Healthcare Insurance

💰 $4.7M Grant on 2022-12

Healthcare Insurance

UMass Memorial Health is a comprehensive health system located in Massachusetts. It serves as the clinical partner of UMass Chan Medical School and offers a wide range of healthcare services across its network of hospitals, including UMass Memorial Medical Center, Harrington Hospital, HealthAlliance-Clinton Hospital, Marlborough Hospital, and Milford Regional. The health system provides services in cancer care, diabetes, emergency and heart care, orthopedics, and more. It also offers behavioral health services and community health initiatives. UMass Memorial Health is renowned for its innovative clinical trials in oncology and has been recognized for its excellence in cancer programs. It serves as the exclusive healthcare provider for the Worcester Red Sox and offers extensive resources for patients, including financial counseling, price estimator tools, and various patient support services.

📋 Description

• Draw upon clinical knowledge and experience to collaborate with physicians and other team members. • Ensure patient records accurately document the status, complexity, and intensity of patient conditions and care. • Review inpatient medical records for identified payer populations or clinical specialties upon admission and throughout hospitalization. • Analyze clinical status of patient, current treatment plan and past medical history and identify potential gaps in physician documentation. • Communicate with attending physicians either verbally or electronically to validate observations and suggest additional documentation. • Support Physician leaders with focused documentation reviews and special projects.

🎯 Requirements

• Massachusetts licensure as a registered nurse required. • Experience in direct patient care, case management, utilization review or equivalent required. • Knowledge of clinical documentation practices and principles and ICD-10-CM diagnosis codes required. • Excellent interpersonal skills and demonstrated ability to interact with physicians in a collaborative and professional manner. • Ability to effectively use specialized computer-based systems for gathering, reporting, and analyzing critical data. • Preferred: 1-3 years of CDI experience preferred.

🏖️ Benefits

• This position may have a signing bonus available. • Exceptional patient care, academic excellence, and leading-edge research benefits. • Flexible scheduling options available.