Clinical Review Specialist, Remote

Center for Integration Science

Somerville, MA, United States
Base: $63,648.00 - $90,750.40 annually; bonus/equi...
Fully remote
Pre-visit clinical chart review
Hierarchical condition categories (hcc) knowledge
Medical record interpretation skills
The Center for Integration Science is seeking a Clinical Review Specialist to support patient care through accurate chart reviews and coding in a fully remote position. The ideal candidate should have experience in clinical documentation and coding, with strong communication skills to educate providers on risk capture

Job Summary

  • The role facilitates accurate identification of patient medical conditions through comprehensive chart review and coding output data analysis.
  • The specialist educates providers on risk capture strategies to improve diagnostic specificity and reflect patient conditions accurately.
  • Mass General Brigham offers competitive base pay, comprehensive benefits, and career advancement opportunities for team members.

Matching Summary

Match Score: 85

The Center for Integration Science is seeking a Clinical Review Specialist to support patient care through accurate chart reviews and coding in a fully remote position. The ideal candidate should have experience in clinical documentation and coding, with strong communication skills to educate providers on risk capture.

Salary

Base: $63,648.00 - $90,750.40 annually; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement, differentials, premiums, and bonuses included

Skills & Requirements

Must-have

  • Pre-visit clinical chart review
  • Hierarchical Condition Categories (HCC) knowledge
  • Medical record interpretation skills
  • Provider communication and education
  • Epic system usage

Nice-to-have

  • Collaborative relationship building
  • Process improvement mindset
  • Constructive conflict resolution
  • Continuous professional learning
  • Quality improvement initiatives

Key Requirements

  • 3-5 years experience in case management or outpatient coding
  • Certification in Clinical Documentation Improvement (CDIP, CCDS, CDEO)
  • Medical licensure (RN, PA, NP) preferred
  • Bachelor's degree in healthcare related field preferred
  • CRC certification required within 1 year of employment

Work Rights

Not specified

Tailored Resume

Cover Letter