Clinical Documentation Specialist
- Mass General Brigham Healthcare at Home
- Waltham, MA
- Full Time
- 21 days ago
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Job Description
Clinical Documentation Specialist
- (3285872)
Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
Description
Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients’ unique needs with the goal of optimizing independence and quality of life. Our clinicians are highly skilled and able to function both independently and as part of an interdisciplinary team.
We value the uniqueness of our employees who are a reflection of the communities and patients that we serve. Our attractive and comprehensive benefits package is designed to meet the needs of our employees.
The first day would be in Newton, MA and then this position would be a fully remote.
Responsible for optimizing Medicare reimbursement for traditional Medicare and Managed Medicare PPS products. Review and edit Medicare Managed clinical documentation to ensure compliance, coding accuracy and revenue authorization. Optimize efficiencies and ensure positive patient outcomes by achieving metric goals. Key metric goals include process measures, case mix, episodes per admission, budgeted utilization, quality outcomes, LUPA’s, and telemedicine utilization.
Qualifications and Experience
- Bachelor’s degree or equivalent clinical education
- Current clinical license in Massachusetts required (RN, PT, OT)
- Must have both certifications, ICD (HCS-D) and OASIS (COS-C).
- Thorough knowledge of Medicare Conditions of Participation
- Strong computer skills and ability to learn various software packages
- Detail-oriented skills with ability to organize and prioritize workload
- Previously demonstrated ability to achieve results by holding self accountable
- Strong written, verbal and electronic communications skills.
- Ability to work with and positively influence a variety of personalities and diverse work-styles
Mass General Brigham Home Care is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.