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Healthcare Administration

HCC Risk & Clinical Review Specialist

Job in Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for: Mass General Brigham (Enterprise Services)
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
A healthcare organization is seeking a Pre-Visit Clinical Review Specialist in Somerville, MA. The role involves performing clinical delivery reviews, educating providers on risk capture, and maintaining coding knowledge. Candidates should have 3-5 years of experience in case management, medical coding, or CDI, with certifications preferred. Strong PC skills and collaboration with care teams are essential. This position promotes quality in medical documentation and patient care.
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