Cdi Technical Advisor

Mass General Brigham Incorporated

Boston, MA, US
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
Fully remote
Advanced clinical documentation reviews
Quality assurance for cdi reviews
Drg assignment validation
Conduct advanced clinical documentation reviews for inpatient encounters to ensure accuracy and compliance with MGB standards and regulatory requirements

Job Summary

  • Conduct advanced clinical documentation reviews for inpatient encounters to ensure accuracy and compliance with MGB standards and regulatory requirements.
  • Provide quality assurance for primary CDI reviews, support accurate code assignment and DRG validation, and ensure optimal reimbursement and data quality.
  • Identify discrepancies or missed opportunities in clinical documentation that impact severity of illness, risk of mortality, DRG assignment, and reimbursement.

Matching Summary

Conduct advanced clinical documentation reviews for inpatient encounters to ensure accuracy and compliance with MGB standards and regulatory requirements.

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Advanced clinical documentation reviews
  • Quality assurance for CDI reviews
  • DRG assignment validation
  • Provider query escalation
  • Inpatient coding guidelines knowledge

Nice-to-have

  • Service-line expertise
  • Collaboration with physicians and coders
  • Education and training delivery

Key Requirements

  • Associate's Degree Nursing or Advanced Degree preferred
  • Active RN, NP, or PA License required
  • 5-7 years acute medical/surgical care experience
  • 3-5 years clinical documentation improvement experience

Work Rights

Not specified

Tailored Resume

Cover Letter