Posted in Other 4 days ago.
Site: Rehabilitation Hospital of the Cape and Islands Corporation
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, 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 a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.
Job Summary
Responsible for improving clinical outcomes by managing, analyzing, and optimizing coding practices, clinical documentation, and healthcare transcription. Works closely with healthcare teams to ensure accurate documentation that supports patient care, quality initiatives, and regulatory compliance.
Does this position require Patient Care? No
-Reviews and monitors clinical documentation to ensure accuracy and completeness in coding and transcription practices.
-Collaborates with healthcare providers to improve documentation standards, aligning with best practices and regulatory requirements.
-Completes Inpatient Rehabilitation Facility (IRF-PAI) data, enters and transmits to CMS within federally mandated timeframes and organization policies for admissions and discharges (day 4 post-admit and day 3 post-discharge).
-Monitors and ensures correct LOA dates are recorded on the IRF PAI.
-Assures accurate Impairment Group Codes and co-morbidities in collaboration with coding and CDI staff to determine the correct length of stay estimate and CMG in adherence with CMS IRF Coding standards.
-Communicates ELOS to clinical staff to assist with care/discharge planning.
-Analyzes clinical data to identify trends, track patient outcomes, and assess areas for improvement in clinical documentation.
-Implements training programs for clinical staff on accurate documentation, coding, and transcription standards.
-Coordinates with quality improvement teams to support accurate data collection for performance metrics and patient safety initiatives.
-Assesses clinical documentation for compliance with coding standards, ensuring proper billing and regulatory adherence.
-Prepares detailed reports on clinical outcomes and documentation effectiveness for internal audits and external reporting.
Qualifications
Education
Associate's Degree Related Field of Study required or Master's Degree Occupational Therapy required or Master's Degree Speech Therapy required or Doctor of Physical Therapy Physical Therapy required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Registered Nurse [RN - State License] - Generic - HR Only preferred
Experience
Experience managing documentation quality or coding 1-2 years required and Previous Occupational Therapy, Physical Therapy, Speech Therapy or Registered Nurse experience 2-3 years required
Knowledge, Skills and Abilities
- Expert knowledge of clinical documentation practices and coding standards.
- Strong analytical skills for data review and outcomes reporting.
- Excellent communication skills for interacting with clinical teams and providing documentation training.
- Proficiency in using electronic health records (EHR) systems.
- Attention to detail and ability to manage compliance requirements effectively.
Additional Job Details (if applicable)
Physical Requirements
Sun Communities
$21.00 per hour
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