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Exemption Status:

Exempt

Schedule Details:

Scheduled Hours:

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 16,000 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.

I.     Major Responsibilities:

1.    Provides supervision and monitoring of daily activities and assigned personnel associated with the Clinical Documentation Improvement Department. 
2.    Reviews inpatient medical records, compliantly querying providers as needed, for identified populations. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation.
3.    Provides training and technical assistance to employees, ensuring personnel are provided with appropriate resources and materials within the assigned work area.
4.    Provides effective direction, guidance, and leadership over assigned personnel for effective teamwork and motivation and fosters the effective integration of efforts with system-wide initiatives.
5.    Relays work instruction from the Manager of CDI.

II.     Position Qualifications:
License/Certification/Education:
Required:
1.    Associate’s degree and Massachusetts licensure as a registered nurse or M.D. or D.O. or equivalent.  

Experience/Skill:
Required:
1.    Minimum three years’ experience in Clinical Documentation Improvement.  
2.    Excellent critical thinking skills.
3.    Knowledge of care delivery documentation systems and related medical record documents.
4.    Broad-based clinical knowledge and understanding of pathology/pathophysiology.
5.    Ability to adapt to changes in the workload, to work independently and to effectively prioritize work assignments. 

Preferred:
1.    Experience supervising staff.  

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

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 experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.