New 
Clinical Documentation Specialist, Home Care
 Mass General Brigham Healthcare at Home | |
$79,560.00 - $115,720.80
| |
 United States, Massachusetts, Newton | |
| 75-95 Wells Avenue (Show on map) | |
 Jun 26, 2026 | |
|
We are seeking a per diem Clinical Documentation Specialist to join the Utilization Management department supporting Mass General Brigham Home Care.
The Clinical Documentation Improvement (CDI) Specialist is responsible for enhancing the accuracy, completeness, and quality of clinical documentation to support appropriate reimbursement, quality care initiatives, and compliance with regulatory requirements. Patient Care Requirement No Essential Functions Review patient medical records to ensure clinical documentation is accurate, complete, and compliant with established documentation standards. Collaborate with physicians, nurses, and other healthcare professionals to clarify documentation and obtain information necessary to support accurate coding and billing. Provide guidance to coding staff on documentation requirements that support accurate code assignment, regulatory compliance, and appropriate reimbursement. Identify documentation gaps, trends, and opportunities for improvement, and develop strategies to enhance documentation quality and consistency. Educate clinical staff on documentation best practices, regulatory requirements, and the impact of documentation on patient care, quality reporting, and reimbursement. Ensure clinical documentation complies with applicable regulatory standards, including CMS guidelines, HIPAA regulations, and other healthcare requirements. Analyze documentation quality and compliance data, prepare reports, and recommend process improvements to strengthen documentation practices. Partner with interdisciplinary teams to ensure documentation accurately reflects the patient's clinical condition, care provided, and treatment outcomes. Education COS-C Certified - Required HCS-D - Certified - Required Experience Mass General Brigham Home Care, Inc. 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. | |