Remote Clinical Documentation Specialist (Quality & CDI)

Mass General Brigham; United States; Remote; USD 64,000 - 93,000; Full time

Job summary

Mass General Brigham is seeking a Clinical Review Specialist to assess medical necessity and appropriateness of healthcare services. This remote role supports our Community Physicians division with standard business hours from a home office.

Primary duties include reviewing medical records against guidelines, participating in quality initiatives, and educating clinicians on documentation and outcomes improvement. RN licensure is preferred; CDI and coding experience are valued across the team.

Qualifications

• Bachelor's Degree in Nursing (BSN) or related field required.
• 3+ years Clinical Documentation Improvement (CDI) specialist training or risk adjustment experience, including clinical coding knowledge.
• 2+ years experience with chart reviews in electronic medical records, clinical data, supporting or leading work around quality and improvements and creating and/or presenting education material required.
• RN license preferred.
• Coding Credential (CRC, CPC or CCS) preferred.

Responsibilities

• Review medical records and treatment plans to ensure that they align with established guidelines and standards.
• Participates in department quality improvement initiatives.
• Reviews and applies analytical skills to designated patient population medical record documentation to assess the level of documentation accuracy and completeness.
• Provides clinician‑specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes.

Job description

Mass General Brigham is seeking a Clinical Review Specialist to assess medical necessity and appropriateness of healthcare services. This remote role supports our Community Physicians division with standard business hours from a home office.

Primary duties include reviewing medical records against guidelines, participating in quality initiatives, and educating clinicians on documentation and outcomes improvement. RN licensure is preferred; CDI and coding experience are valued across the team.