Clinical Review Specialist, Remote

Brigham and Women(1 month ago)

RemoteFull TimeMedior$62,400 - $90,750.4Clinical Documentation / Risk Capture

About this role

The Pre-Visit Clinical Review Specialist at Mass General Brigham performs comprehensive chart and coding-data review to ensure accurate identification and documentation of patient medical conditions, improving problem lists and disease registry assignments. The role leverages clinical and coding knowledge of Hierarchical Condition Categories (HCCs) to identify recapture opportunities and supports provider education around risk capture and documentation quality. This position reports to the Director of Risk Capture and contributes to enterprise-wide documentation accuracy and quality efforts.

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Required Skills

Chart Review
Clinical Interpretation
HCC Coding
Risk Adjustment
Documentation
Provider Education
Epic
Microsoft Office
Quality Improvement
Communication

Qualifications

CDIP
CCDS
CCDS-O
CDEO
CRC
CPC
CCS
CCS-P
RN
PA

+2 more

About Brigham and Women

brighamandwomens.org

Brigham and Women’s Hospital is one of the top hospitals in America with more than 790 beds, and a premier teaching hospital of Harvard Medical School. Learn more.

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