Top 6288 Clinical documentation Jobs in Massachusetts

Clinical Documentation Specialist I-CDI
Beth Israel Lahey Health —Winchester, MA
- $85,000 - $132,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Clinical Documentation Specialist II- RN- Remote
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Clinical Documentation Improvement Specialist
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Senior Consultant - Clinical Documentation Specialist
Deloitte —Boston, MA
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Clinical Claim Review RN
Optum —Boston, MA
- $29 - $52 an hour
- Full-time
- Remote
- Nursing
- RN License
- Pass drug screening
9d
Clinical Data Management Specialist (REMOTE)
Teleflex —Templeton, MA
- $100,500 - $150,800 a year
- Remote
- Computer science
- Computer Science
- Bachelor's degree
- Disability insurance
- Health insurance
Clinical Research Data Specialist I
Mass General Brigham Incorporated —Boston, MA
- $20.16 - $29.01 an hour
- Full-time
- Remote
- Computer literacy
- Bachelor's degree
- Quality control
- Opportunities for advancement
Quick Apply
21h
Clinical Analyst Appeals (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $93,142 - $124,800 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Experienced Clinical Research Associate (CRA II / SR CRA) - US East Region (Northeast & Southeast) - Multiple Therapeutic Areas Available
Thermo Fisher Scientific —Massachusetts
- $85,000 - $130,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Commuter assistance
- Paid parental leave
Co-Founder & CEO - AI Clinical Documentation Compliance
FutureSight —Boston, MA
- $150,000 - $850,000 a year
- Remote
- Team management
- Recruiting
- Senior level
Quick Apply
Clinical Document Specialist (RN), REMOTE, 40hrs
UMass Memorial Health —Worcester, MA
- $91,644.80 - $164,944.00 a year
- 8 hour shift
- Remote
- RN License
- Mid-level
- Bachelor's degree
4d
IRR Clinical Claim Review RN
Optum —Plymouth, MA
- $29 - $52 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Employee stock purchase plan
1d
Care Navigator (Remote - Massachusetts)
CareSource —Massachusetts
- $41,200 - $66,000 a year
- Full-time
- Remote
- Basic math
- HIPAA
- Mid-level
Central Study Coordinator I
Care Access —Boston, MA
- $75,000 - $95,000 a year
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
3d
Supervisor, Claims Review - Remote in MA
Optum —Boston, MA
- $72,800 - $130,000 a year
- 8 hour shift
- Remote
- RN License
- Pass drug screening
- Mid-level
- Paid training
3d
Director of Nursing Services
Devereux Skilled Nursing and Rehabilition —Marblehead, MA
- $125,000 - $130,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Clinical Supervisor (LMHC) – Independent Contractor
Life CenteredTherapy —Waltham, MA
- From $85 an hour
- Part-time
- Hybrid work
- Mid-level
- Master's degree
- Supervising experience
- Professional development assistance
- Flexible schedule
Quick Apply
11d
Physician - DO / MD - Webster, MA - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!
Fallon Health —Webster, MA
- $275,000 - $310,000 a year
- 8 hour shift
- Medicine
- Surgery
- Urgent Care
- Flexible schedule
14d
RN, HOSPICE CLINICAL MANAGER 5 STAR CO, PHENOMENAL BENEFITS & TEAM, TOP $ FLEX HOURS
New England Personnel, LLC —Worcester, MA
- $108,000 - $118,000 a year
- Email
- Background check
- Nursing
- Vital signs
- Travel reimbursement
- Free parking
Quick Apply
10h
Nurse Practitioner - Webster - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!
Fallon Health —Webster, MA
- $150,000 - $170,000 a year
- Full-time
- Nursing
- BLS Certification
- Mid-level
14d

I want to receive the latest job alert for clinical documentation in massachusetts

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical documentation jobs near massachusetts

Clinical Documentation Specialist I-CDI

Beth Israel Lahey Health -
Winchester, MA

Apply Now

Job Details

Full-time
$85,000 - $132,000 a year

Qualifications

RN License
Bachelor's degree
Medical-surgical
Desktop applications
Bachelor's degree in nursing
Clinical documentation improvement

Full Job Description

Winchester, MA • Beth Israel Lahey Health • Full-time • Day

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Clinical Documentation Improvement (CDI) Specialist I assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided, including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist I initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist I works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.

Job Description:

Essential Duties & Responsibilities including but not limited to:

Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation.
Evaluates documentation for assignment of working and possible DRG.
Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, core measures, and patient safety/quality.
Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation.
Interacts directly with physicians to request and obtain additional documentation when needed.
Timely follow-up on all unanswered queries based on the query escalation policy.
Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement.
Maintains a collaborative working relationship with the Health Information Coding staff and serves as a clinical resource.
Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management. · Performs mortality reviews and optimizes the risk of mortality.
Maintains review worksheet on all records using CDI software.
Ensures the accuracy of clinical information used for measuring and reporting physician and hospital quality outcomes.
Reviews, evaluates, analyzes, and interprets data related to documentation on an ongoing basis. Identifies trends or potential problems and assists in developing action plans to address.
Adheres to ethical and professional business practices.
All other duties as assigned.
It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Minimum Qualifications:

Education:

Bachelor’s in Nursing, required

Licensure, Certification & Registration:

RN License

Experience:

1-2 years of medical/surgical nursing experience in the acute hospital setting.
Critical Care and/or Emergency Nursing experience required

Skills, Knowledge & Abilities:

Proficient skill in query writing to physicians
Knowledge to accurately complete chart audits
Organizational and critical thinking skills required
Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access

Pay Range:

$85,000.00 USD – $132,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Employment: Full-time
Hours/Week: 40
Shift: Day
Category: Clinical Documentation Improvement (CDI)
Pay Range: $85,000.00 USD - $132,000.00 USD
FLSA: Exempt
Req ID: JR96962

Apply Now

Refine Your Search

clinical documentation jobs in massachusetts

Clinical Documentation Specialist I-CDI

Clinical Documentation Specialist II- RN- Remote

Clinical Documentation Improvement Specialist

Senior Consultant - Clinical Documentation Specialist

Clinical Claim Review RN

Clinical Data Management Specialist (REMOTE)

Clinical Research Data Specialist I

Clinical Analyst Appeals (Remote)

Experienced Clinical Research Associate (CRA II / SR CRA) - US East Region (Northeast & Southeast) - Multiple Therapeutic Areas Available

Co-Founder & CEO - AI Clinical Documentation Compliance

Clinical Document Specialist (RN), REMOTE, 40hrs

IRR Clinical Claim Review RN

Care Navigator (Remote - Massachusetts)

Central Study Coordinator I

Supervisor, Claims Review - Remote in MA

Director of Nursing Services

Clinical Supervisor (LMHC) – Independent Contractor

Physician - DO / MD - Webster, MA - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!

RN, HOSPICE CLINICAL MANAGER 5 STAR CO, PHENOMENAL BENEFITS & TEAM, TOP $ FLEX HOURS

Nurse Practitioner - Webster - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!

I want to receive the latest job alert for clinical documentation in massachusetts

Related Searches

Explore jobs in more locations

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Job Seeker Tools

Employer Tools

Browse

Stay Connected