Lead Clinical Documentation Improvement and Reimbursement Specialist
1 month ago
About the Role
We are seeking a skilled Lead Clinical Documentation Improvement and Reimbursement Specialist to join our team in post-acute care. This role will be responsible for facilitating improvement in the overall quality, completeness, and accuracy of medical record documentation.
Key Responsibilities
- Provides education to the CDI team on documentation requirements and notifies the team of coding/billing updates as needed.
- Assists the CDI team with validation of clinical review and development of compliant physician queries.
- Maintains and develops Compliant Physician Query Templates located in the Electronic Health Record.
- Reviews inpatient medical records within 24-48 hours of admission and throughout hospitalization to evaluate documentation supporting coders' assignments.
- Conducts concurrent follow-up reviews of patients every 2-3 days to support and assign additional diagnoses that may impact length of stay.
- Queries physicians regarding missing, unclear, or conflicting medical record documentation by requesting and obtaining additional documentation within the medical record as applicable.
- Collaborates with case managers, nursing staff, and other ancillary staff regarding interaction with physicians on documentation and to resolve physician queries prior to patient discharge.
Qualifications and Experience
- Experience working in post-acute care (IRF preferred, SNF or LTCH).
- Graduate of an accredited School of Nursing.
- Current licensure from the Massachusetts Board of Registration to practice professional nursing.
- Certificate in Case Management or Clinical Documentation Improvement (CDIP) preferred.
- Minimum of 5 years experience in either clinical nursing, case management, HIM inpatient coding, or an equivalent combination of these disciplines.
- Knowledge of acute regulatory/accreditation requirements preferred.
- Basic knowledge of coding/classification systems appropriate for inpatient CMG and DRG prospective payment system.
- Computer proficiency required.
About the Position
This is a full-time position with a competitive salary range of $85,000-$110,000 per year, depending on experience, and a comprehensive benefits package. The ideal candidate will have excellent communication and interpersonal skills, with the ability to work effectively in a team environment. If you are a motivated and detail-oriented individual with a passion for improving patient outcomes, we encourage you to apply for this exciting opportunity.
-
Clinical Document Management Specialist
1 month ago
Cambridge, Massachusetts, United States Proclinical Staffing Full timeWe are seeking a skilled Clinical Document Management Specialist to join our team at Proclinical Staffing in Cambridge, MA. As a Clinical Document Management Specialist, you will play a critical role in ensuring the accuracy and timeliness of clinical documents, including Trial Master Files (TMFs). You will be responsible for managing clinical document...
-
Clinical Document Management Specialist
7 days ago
Cambridge, Massachusetts, United States Beacon Hill Life Sciences - Boston Full timeJob OverviewWe are seeking a highly motivated Clinical Document Management Specialist to join our team at Beacon Hill Life Sciences in Boston. As a key member of our clinical operations team, you will play a critical role in maintaining client's Trial Master Files (TMFs), ensuring they are current and inspection-ready for internal and external entities.About...
-
Senior Clinical Document Specialist
4 weeks ago
Cambridge, Massachusetts, United States Integrated Resources, Inc ( IRI ) Full timeAbout the Role:We are seeking a highly motivated and experienced Senior Clinical Document Specialist to join our team at Integrated Resources, Inc. (IRI). This is an exciting opportunity for someone with expertise in clinical document management and eTMF systems.As a Senior Clinical Document Specialist, you will be responsible for managing clinical documents...
-
Clinical Reimbursement Specialist
3 weeks ago
Cambridge, Massachusetts, United States Adecco US, Inc. Full timeAdecco US, Inc. is seeking a skilled Reimbursement Resource Specialist to join our team in Cambridge, MA.This role offers an estimated hourly wage of $35-$36.25, depending on experience and qualifications.Job Description:Support and collaborate with Case Managers in Rare Blood Disorders businessAssist with enrollment processing and facilitate reimbursement...
-
Cambridge, Massachusetts, United States Beacon Hill Life Sciences - Boston Full timeWe are seeking a Senior Clinical Document Management Specialist to join our team at Beacon Hill Life Sciences in Boston. The ideal candidate will have a minimum of 5 years of experience in clinical document management, with a strong understanding of electronic Trial Master Files (eTMFs) and Good Clinical Practice (GCP).Job ResponsibilitiesManage the quality...
-
Medical Reimbursement Specialist
1 month ago
Cambridge, Massachusetts, United States Randstad Full time**Overview of the Position**Randstad is a world leader in matching great people with great companies. We are currently seeking a highly skilled Medical Reimbursement Specialist to join our team.Salary: The estimated salary for this position is $36.25-$36.26 per hour.Job DescriptionThe Medical Reimbursement Specialist will be responsible for assisting with...
-
Clinical Reimbursement Manager
7 days ago
Cambridge, Massachusetts, United States Lifelancer Full timeJob Summary:Lifelancer is seeking an experienced Rare Disease Case Coordinator to join our team, focusing on patient access and product procurement for Alnylam products. The ideal candidate will possess a comprehensive understanding of healthcare reimbursement models, strong written and verbal communication skills, and ability to work collaboratively with...
-
IT Infrastructure Specialist
1 week ago
Cambridge, Massachusetts, United States Maxis Clinical Sciences Full timeJob OverviewWe are seeking a highly skilled IT Infrastructure Specialist to join our team at Maxis Clinical Sciences. As an IT Infrastructure Specialist, you will be responsible for designing, implementing, and maintaining our organization's cloud-based infrastructure. This includes ensuring the security, reliability, and scalability of our systems.The ideal...
-
Ophthalmology Clinical Trial Specialist
1 week ago
Cambridge, Massachusetts, United States Lifelancer Full timeJob Title: Ophthalmology Clinical Trial SpecialistLifelancer, a leading talent-hiring platform in Life Sciences, Pharma and IT, is seeking an experienced Ophthalmology Clinical Trial Specialist to join our team. The ideal candidate will have a strong background in ophthalmology, with a minimum of 10 years of experience in a medical device, biotechnology,...
-
Clinical Reimbursement Associate
3 weeks ago
Cambridge, Massachusetts, United States Brighton House Rehab & Nursing Center Full timeKey Responsibilities:Assess and monitor proper treatment for residentsDetermine health status, care plans, and procedures for intake according to state and federal standardsPerform clinical assessmentsAs a valued member of our team, you will enjoy a range of benefits, including weekly pay, 401(K) with company match, referral bonuses, flexible schedule, and...
-
Clinical Rehabilitation Nurse Specialist
6 days ago
Cambridge, Massachusetts, United States Mass General Brigham Full timeAbout the Role: We are seeking a highly skilled Clinical Rehabilitation Nurse Specialist to join our team at Mass General Brigham. As a key member of our nursing staff, you will provide exceptional patient care and support to patients with complex medical needs. Your expertise in rehabilitation nursing will enable you to develop and implement individualized...
-
Clinical Operations Specialist
3 weeks ago
Cambridge, Massachusetts, United States Bicycle Therapeutics Full timeOverviewBicycle Therapeutics is a clinical-stage pharmaceutical company pioneering a novel class of medicines referred to as Bicycle molecules. These molecules are fully synthetic short peptides constrained with small molecule scaffolds, making them attractive candidates for drug development.The company is evaluating zelenectide pevedotin, BT5528, and BT7480...
-
Statistical Lead in Biotech
1 week ago
Cambridge, Massachusetts, United States Maxis Clinical Sciences Full timeJob SummaryWe are seeking a Statistical Lead in Biotech to lead our clinical trials team at Maxis Clinical Sciences. The successful candidate will have expertise in biostatistics and a strong track record of delivering high-quality results under pressure.Main ResponsibilitiesDevelop and implement statistical methodologies for clinical trial design and data...
-
Cloud Infrastructure Engineer
1 week ago
Cambridge, Massachusetts, United States Maxis Clinical Sciences Full timeAs a Cloud Infrastructure Engineer at Maxis Clinical Sciences, you will play a key role in designing, building, and maintaining scalable cloud infrastructure on AWS. We are seeking an experienced Senior Systems Administrator with expertise in AWS cloud and VMWare SDDC to join our team.Job SummaryWe are looking for a skilled IT Systems Management Specialist...
-
Clinical Specialist Inpatient Therapist
3 weeks ago
Cambridge, Massachusetts, United States Mass General Brigham Full timeAbout Mass General BrighamMass General Brigham is a leading healthcare system in the United States, committed to delivering high-quality patient care and advancing medical research.We are seeking an exceptional Clinical Specialist Inpatient Therapist to join our team of dedicated healthcare professionals. As a key member of our multidisciplinary team, you...
-
Clinical Research Associate Lead
1 week ago
Cambridge, Massachusetts, United States Lifelancer Full timeJob DescriptionWe are looking for an experienced Clinical Research Associate Lead to join our team at Lifelancer, a leading talent-hiring platform in Life Sciences, Pharma and IT. The ideal candidate will have a strong background in clinical research, with a minimum of 7 years' experience as a CRA/Monitor. They will be responsible for conducting monitoring...
-
Clinical Nurse Specialist
3 weeks ago
Cambridge, Massachusetts, United States Mass General Brigham Full timeAbout the RoleWe are seeking a highly skilled Clinical Nurse Specialist to join our Neurology team at Mass General Brigham. This is an exciting opportunity to work in a dynamic environment, collaborating with experienced healthcare professionals to deliver exceptional patient care.Estimated Salary: $83,000 - $123,000 per year, depending on experience.About...
-
Clinical Access Specialist
3 weeks ago
Cambridge, Massachusetts, United States Lifelancer Full timeSeeking a highly motivated Clinical Access Specialist to join our dynamic team at Alnylam Pharmaceuticals. As a key member of our Patient Services team, you will play a vital role in optimizing access to our rare disease therapies and ensuring seamless customer interactions from intake through ongoing support.The ideal candidate will possess a deep...
-
Fabrication Documentation Expert
2 weeks ago
Cambridge, Massachusetts, United States KINGSLY COMPRESSION INC Full timeCAD Design SpecialistKingsly Compression Inc. is seeking a talented CAD Design Specialist to join our team. As a key player in our design department, you will be responsible for creating precise and detailed CAD drawings for fabrication and documentation of industrial equipment.Key Responsibilities:- Prepare accurate and detailed CAD drawings for fabrication...
-
Clinical Mental Health Specialist
1 month ago
Cambridge, Massachusetts, United States Mass General Brigham Full timeAbout the RoleWe are seeking a Clinical Mental Health Specialist to join our team at Mass General Brigham.This is an exciting opportunity for a dedicated professional to make a difference in the lives of our patients.Job SummaryThe Clinical Mental Health Specialist will provide direct patient care and participate in therapeutic milieu under the direction of...