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Creating remarkable health experiences, freeing people to be their best.
RN Clinical Document Specialist- AHN
Location
United States
Posted
92 days ago
Salary
$30 - $49 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
RN Clinical Document Specialist- AHN
Highmark Health
Company : Allegheny Health NetworkJob Description : This is a remote/work from home role but preferred candidates will live within 50 miles of the Pittsburgh or Erie region. GENERAL OVERVIEW: Improves the overall quality and completeness of medical documentation; facilitates enhancements to clinical documentation through extensive interaction with physicians, nursing staff, case managers, other patient caregivers, and medical records coding staff to ensure that the appropriate reimbursement is received for the level of service rendered to all inpatients; ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes; educates all members of the patient care team on an ongoing basis. ESSENTIAL RESPONSIBILITIES: - Facilitate appropriate clinical documentation through concurrent, prospective, and retrospective medical record review (30%) - Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses and ancillary staff based on knowledge of coding and HCC guidelines, documentation strategies, and clinical documentation requirements (25%) - Work collaboratively with coding professionals to assure documentation of diagnoses and comorbidities are a complete reflection of the patient's clinical status and care (10%) - Formulate credible clinical documentation clarifications to improve clinical documentation (10%) - Educates all internal customers on compliant documentation responsibilities, coding, and reimbursement issues, as well as performance improvement methodologies (15%) - Performs other duties as assigned or required (10%) QUALIFICATIONS: Minimum - High school/ GED - Bachelor's Degree in Nursing OR Relevant experience and/or education as determined by the company in lieu of bachelor's degree - 5 years in a nursing role - Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) Preferred - Experience in Clinical Documentation Integrity (CDI) - Experience in Coding - Knowledge of ICD 10 and HCC coding guidelines - Knowledge of Electronic Medical Record (Epic) - Knowledge of Encoder (3M 360 Encompass) - Excellent communication skills - Critical thinking skills - Certified Coding Specialist (CCS) - Certified Outpatient Clinical Documentation Improvement Specialist (CCDS-O) - Certified Clinical Documentation Improvement Specialist (CCDS) - Certified Clinical Documentation Improvement Professional (CDIP) Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $30.10 Pay Range Maximum: $48.54 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Job Requirements
- Minimum: High school/GED
- Bachelor's Degree in Nursing OR Relevant experience and/or education as determined by the company in lieu of bachelor's degree
- 5 years in a nursing role
- Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
- Preferred: Experience in Clinical Documentation Integrity (CDI)
- Experience in Coding
- Knowledge of ICD 10 and HCC coding guidelines
- Knowledge of Electronic Medical Record (Epic)
- Knowledge of Encoder (3M 360 Encompass)
- Excellent communication skills
- Critical thinking skills
- Certified Coding Specialist (CCS)
- Certified Outpatient Clinical Documentation Improvement Specialist (CCDS-O)
- Certified Clinical Documentation Improvement Specialist (CCDS)
- Certified Clinical Documentation Improvement Professional (CDIP)
- Facilitate appropriate clinical documentation through concurrent, prospective, and retrospective medical record review (30%)
- Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses and ancillary staff based on knowledge of coding and HCC guidelines, documentation strategies, and clinical documentation requirements (25%)
- Work collaboratively with coding professionals to assure documentation of diagnoses and comorbidities are a complete reflection of the patient's clinical status and care (10%)
- Formulate credible clinical documentation clarifications to improve clinical documentation (10%)
- Educates all internal customers on compliant documentation responsibilities, coding, and reimbursement issues, as well as performance improvement methodologies (15%)
- Performs other duties as assigned or required (10%)
Benefits
- Pay Range Minimum: $30.10
- Pay Range Maximum: $48.54
- Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
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Medical Dosimetrist - Pediatric Research Support
Mass General BrighamMass General Brigham connects a full spectrum of care across a system of academic medical centers, specialty and community hospitals, physician networks, a heal
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Starting pay rate $130k The Mass General Brigham Cancer Institute’s Department of Radiation Oncology is a leader in developing and implementing some of the most innovative and effective radiation therapies in the world. Massachusetts General Hospital and Brigham and Women’s Hospital, founding members of Mass General Brigham, are ranked by U.S. News & World Report as two of the nation’s best hospitals and work together as one team to deliver extraordinary care. Become a member of our department as a Medical Dosimetrist supporting Pediatric Cancer research as part of a collaboration with M3 Pediatric Cancer Registry! M3 (Multi-institutional, Multi-disciplinary, and Multi-omic) Pediatric Cancer Registry: the M3 Collaboration is a comprehensive multi-institutional pediatric cancer and tumor registry that will use AI-augmented and automated procedures to capture multidimensional patient data in pediatric cancer patients to accelerate research and improve disease control and quality of survivorship. Data collection will include treatment exposures (inclusive of radiation treatment plans, surgery, chemotherapies), biologic characteristics of the tumor and patient, and outcomes measures with the purpose of improving cures and quality of survival. This is a merging of efforts from the Pediatric Proton/photon Consortium Registry (PPCR, 26 centers, Massachusetts General Hospital (MGH) lead), the Childhood Brain Tumor Network (CBTN, 37 centers with Children’s Hospital of Pennsylvania lead) and Johns Hopkins Radiation and Advanced Analytics Program. This is funded by a philanthropic grant from an anonymous donor. We look forward to welcoming a new teammate to help support and oversee storage and quality control of pediatric radiation treatment plans for the M3 Collaboration. Most work will be accomplished remotely except for being on site at MGH for onboarding and to institutional sites as needed to assist in development of export methodologies and workflows for image and radiation plan transfers. Competitive Compensation and Benefits Packages including: • Starting pay of $130k annually • Comprehensive Medical, Dental and Vision insurance • Tuition Reimbursement • Paid Parental Leave • Resources for childcare and emergency backup care • Hospital-paid retirement plan and tax-sheltered annuity plan • Subsidized Massachusetts Bay Transportation Authority (MBTA) passes • Employee perks - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events. Job Summary Manage and oversee storage and quality control of radiation treatment plans using the MiM software for the M3 Collaboration. Interface with participating institution’s dosimetry and physics teams to facilitate radiation plan and diagnostic imaging transfers while serving as primary contact for MiM personnel and other dosimetry teams under the M3 Collaboration. Develop and perform treatment plan quality control procedures within MiM to monitor treatment planning data sent from participating sites. Identify and contour normal and dose-limiting structures using AI-supported tools in MiM by utilizing images from one or more data sets. Utilize scripting and workflows in MiM for creation of composite plans and data quality control and extraction. Meet weekly with research teams and researchers from a variety of disciplines and backgrounds towards fulfillment of M3 Collaboration’s aspirations. Maintain and enhance knowledge of both proton and photon (3DCRT, IMRT, VMAT, SBRT) treatment planning techniques, delivery, and software with a specific focus for pediatric patients. Participate in continuing education and quality improvement processes in support of this knowledge development. Aid in orientation and education activities for members of the M3 Collaboration as needed. Qualifications Education Bachelor’s degree in physics (or a related Life, Physical, or Applied Science) is required. JRCERT-accredited Formal Education in Medical Dosimetry (BS/MS/Certificate) is preferred. Can this role accept experience in lieu of a degree? No Licenses and Credentials Medical Dosimetrist Certification Board (MDCB) eligibility is required, while MDCB certification is preferred. Experience Clinical medical dosimetry experience, including 3D conformal and IMRT/VMAT/SBRT treatment planning or basic Proton treatment planning 3-5 years required Knowledge, Skills and Abilities - Knowledgeable in the areas of anatomy, physiology, clinical oncology, radiobiology, radiation physics, and radiation safety. - Expertise in the technical aspects of radiation oncology and medical physics to develop optimal treatment plans, with experience working with pediatric radiation treatment plans preferred but not required. - Detailed knowledge of MiM Maestro radiation oncology software, with particular focus on treatment plan manipulation, storage software methodologies, and expertise in creating scripting/workflows within MiM. - Knowledgeable in health care informatics-including the resources, devices, and methods to acquire, store and retrieve data. Tools include computers as well as clinical guidelines, current medical terminology, information, and communication systems. - Possess good communication and interpersonal skills to facilitate the exchange of information with all research members of the M3 Collaboration, including doctors, registered nurses, data engineers, bioinformaticians, biostatisticians, clinical research coordinators, and program and project managers. - Has high level critical thinking and problem-solving skills and can work both independently and in collaboration with other professionals. - Willingness to work on related items to forward the mission of the M3 Additional Job Details (if applicable) Physical Requirements - Standing Frequently (34-66%) - Walking Frequently (34-66%) - Sitting Occasionally (3-33%) - Lifting Frequently (34-66%) 35lbs+ (w/assisted device) - Carrying Frequently (34-66%) 20lbs - 35lbs - Pushing Occasionally (3-33%) - Pulling Occasionally (3-33%) - Climbing Rarely (Less than 2%) - Balancing Frequently (34-66%) - Stooping Occasionally (3-33%) - Kneeling Occasionally (3-33%) - Crouching Occasionally (3-33%) - Crawling Rarely (Less than 2%) - Reaching Frequently (34-66%) - Gross Manipulation (Handling) Frequently (34-66%) - Fine Manipulation (Fingering) Frequently (34-66%) - Feeling Constantly (67-100%) - Foot Use Rarely (Less than 2%) - Vision - Far Constantly (67-100%) - Vision - Near Constantly (67-100%) - Talking Constantly (67-100%) - Hearing Constantly (67-100%) Remote Type Remote Work Location 45 Fruit Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $118,435.20 - $172,234.40/Annual Grade 8 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1200 The General Hospital Corporation is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework 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.


