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Clinical Document Specialist; RN

Remote / Online - Candidates ideally in
Worcester, Worcester County, Massachusetts, 01609, USA
Listing for: Hahhh
Full Time, Remote/Work from Home position
Listed on 2026-02-28
Job specializations:
  • Nursing
    Clinical Nurse Specialist, RN Nurse, Healthcare Nursing, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 87276.8 - 157081.6 USD Yearly USD 87276.80 157081.60 YEAR
Job Description & How to Apply Below
Clinical Document Specialist (RN) page is loaded## Clinical Document Specialist (RN) remote type:
Remote Caregivers (Primarily Remote) locations:
Worcester, MA University Campus time type:
Full time posted on:
Posted Todayjob requisition :
R#
** Exemption Status:
** Exempt
* * Hiring Range:**$87,276.80 - $Please note that the final offer may vary within this range based on a candidate’s
** experience, skills, qualifications, and internal equity considerations**.
** Schedule Details:
** Monday through Friday
** Scheduled

Hours:

** 40 hrs: 8am - 4:30pm
** Shift:
** 1 - Day Shift, 8 Hours (United States of America)
*
* Hours:

** 40
* * Cost Center:
** 99940 - 5401 Clinical Documents Specialists This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.# #
** Everyone Is a Caregiver
** At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

Drawing upon clinical knowledge and experience, closely collaborates with physicians and other team members to ensure that patient records accurately document the status, complexity and intensity of patient conditions and care.

Drawing upon clinical knowledge and experience, closely collaborates with physicians and other team members to ensure that patient records accurately document the status, complexity and intensity of patient conditions and care.
** Major Responsibilities:
*** Works collaboratively with physicians, nurses, and other staff to ensure accurate and complete medical record documentation to appropriately reflect severity of illness and risk of mortality.
* Reviews inpatient medical records for identified payer populations or clinical specialties upon admission and throughout hospitalization. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation.
* Communicates with attending physicians either verbally or electronically to validate observations and suggest additional and/or more specific documentation.
* Supports Physician leaders with focused documentation reviews and special projects as directed.
* Supports appropriate documentation for coding, reimbursement and quality purposes.
** Position

Qualifications:

**** License/Certification/

Education:

***
* Required:

*** Massachusetts licensure as a registered nurse required
** Preferred:
*** Bachelor’s degree preferred
** Experience/

Skills:

***
* Required:

*** Experience in direct patient care, case management, utilization review or equivalent required.
* Knowledge of clinical documentation practices and principles and ICD-10-CM diagnosis codes required.
* Excellent interpersonal skills and demonstrated ability to interact with physicians in a collaborative and professional manner.
* Ability to effectively use specialized computer based systems for gathering, reporting, and analyzing critical data.
** Preferred:
*** 1-3 years of CDI experience preferred

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are:
Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied…
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