Remote CDI & Clinical Documentation Specialist

Mass General Brigham; Somerville (MA); On-site; USD 64,000 - 93,000; Full time

Job summary

Mass General Brigham Community Physicians, Inc. is seeking a Clinical Review Specialist to assess the medical necessity and appropriateness of healthcare services. The role involves reviewing records, ensuring alignment with guidelines, and supporting quality initiatives.

You will participate in clinician education, apply analytical skills to documentation, and work in a remote-friendly, full-time schedule with standard business hours.

Qualifications

• Bachelor's Degree in Nursing (BSN) or related field required; experience may substitute.
• 3+ years in Clinical Documentation Improvement (CDI) or risk adjustment.
• 2+ years chart reviews in electronic medical records for quality/improvement.
• RN license preferred; Coding credentials preferred.

Responsibilities

• Review medical records and treatment plans to ensure alignment with guidelines.
• Participate in department quality improvement initiatives.
• Apply analytical skills to patient records to assess documentation accuracy and completeness.
• Provide clinician education on quality, outcomes, and documentation standards.

Skills

Clinical documentation improvement

Medical records review

Quality improvement

Education & training

Education

Bachelor's Degree in Nursing (BSN) or related field

Job description

Mass General Brigham Community Physicians, Inc. is seeking a Clinical Review Specialist to assess the medical necessity and appropriateness of healthcare services. The role involves reviewing records, ensuring alignment with guidelines, and supporting quality initiatives.

You will participate in clinician education, apply analytical skills to documentation, and work in a remote-friendly, full-time schedule with standard business hours.