<p>Site: The Spaulding Rehabilitation Hospital Corporation</p> <p>At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.</p> <p>At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.</p> <p>Job Summary</p> <p>Summary</p> <p>Responsible for improving non-clinical outcomes by managing, analyzing, and optimizing coding practices, clinical documentation, and healthcare transcription. Works closely with healthcare teams to ensure accurate documentation that supports patient care, quality initiatives, and regulatory compliance.</p> <p>Does this position require Patient Care?</p> <p>No</p> <p>Essential Functions</p> <ul> <li>Reviews and monitors clinical documentation to ensure accuracy and completeness in coding and transcription practices. </li><li>Collaborates with healthcare providers to improve documentation standards, aligning with best practices and regulatory requirements. </li><li>Completes Inpatient Rehabilitation Facility (IRF-PAI) data, enters and transmits to CMS within federally mandated timeframes and organization policies for admissions and discharges (day 4 post-admit and day 3 post-discharge). </li><li>Monitors and ensures correct LOA dates are recorded on the IRF PAI. </li><li>Assures accurate Impairment Group Codes and co-morbidities in collaboration with coding and CDI staff to determine the correct length of stay estimate and CMG in adherence with CMS IRF Coding standards. </li><li>Analyzes clinical data to identify trends, track patient outcomes, and assess areas for improvement in clinical documentation. </li><li>Implements training programs for clinical staff on accurate documentation, coding, and transcription standards. </li><li>Coordinates with quality improvement teams to support accurate data collection for performance metrics and patient safety initiatives. </li><li>Prepares detailed reports on clinical outcomes and documentation effectiveness for internal audits and external reporting. </li></ul> <p>Qualifications</p> <p>Job Description</p> <p>Education</p> <p>Bachelor's Degree Health Information Management required or Bachelor's Degree Healthcare Administration required or Bachelor's Degree Related Field of Study required</p> <p>Can this role accept experience in lieu of a degree?</p> <p>No</p> <p>Licenses and Credentials</p> <p>Experience</p> <p>Experience in coding, clinical documentation, or health information management 3-5 years required and Experience with electronic health record (EHR) systems and clinical documentation software 3-5 years required and Experience in a supervisory or leadership role 2-3 years required and Experience within a healthcare setting 2-3 years preferred</p> <p>Knowledge, Skills and Abilities</p> <ul> <li>In-depth knowledge of coding and clinical documentation standards. </li><li>Strong leadership and team management skills. </li><li>Excellent analytical and problem-solving abilities. </li><li>Ability to communicate effectively with clinical and non-clinical staff. </li><li>Proficiency in healthcare information systems and data analysis. </li><li>Strong organizational skills and attention to detail. </li></ul> <p>Additional Job Details (if applicable)</p> <p>Physical Requirements</p> <ul> <li>Standing Occasionally (3-33%) </li><li>Walking Occasionally (3-33%) </li><li>Sitting Constantly (67-100%) </li><li>Lifting Occasionally (3-33%) 20lbs - 35lbs </li><li>Carrying Occasionally (3-33%) 20lbs - 35lbs </li><li>Pushing Rarely (Less than 2%) </li><li>Pulling Rarely (Less than 2%) </li><li>Climbing Rarely (Less than 2%) </li><li>Balancing Occasionally (3-33%) </li><li>Stooping Occasionally (3-33%) </li><li>Kneeling Rarely (Less than 2%) </li><li>Crouching Rarely (Less than 2%) </li><li>Crawling Rarely (Less than 2%) </li><li>Reaching Occasionally (3-33%) </li><li>Gross Manipulation (Handling) Constantly (67-100%) </li><li>Fine Manipulation (Fingering) Frequently (34-66%) </li><li>Feeling Constantly (67-100%) </li><li>Foot Use Rarely (Less than 2%) </li><li>Vision - Far Constantly (67-100%) </li><li>Vision - Near Constantly (67-100%) </li><li>Talking Constantly (67-100%) </li><li>Hearing Constantly (67-100%) </li></ul> <p>Remote Type</p> <p>Hybrid</p> <p>Work Location</p> <p>300 First Avenue</p> <p>Scheduled Weekly Hours</p> <p>40</p> <p>Employee Type</p> <p>Regular</p> <p>Work Shift</p> <p>Day (United States of America)</p> <p>EEO Statement:</p> <p>The Spaulding Rehabilitation Hospital Corporation is an Affirmative Action 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.</p> <p>Mass General Brigham Competency Framework</p> <p>At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.</p>