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Full Time
6/6/2025
Boston, MA 02298
(34.2 miles)
The Clinical Documentation Integrity Educator is responsible for:Serving as the lead for internal staff education in this new role for the Department of Pediatrics, develop prescriber education as well as execute trend analysis to support department initiatives, and facilitating the improvement in the overall quality and completeness of provider-based clinical documentation to ensure that level of services and acuity is accurately reflected in the medical record.Supporting appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and external coding company to ensure that appropriate reimbursement is received for the level of services rendered to patients and the clinical information utilized in profiling and reporting is complete and accurate.Developing and delivering coding education programs for providers, staff, and new hires.Ensuring that all clinical treatment, decisions, and diagnoses documented, and coding accurately reflect the patient care.Providing orientation on coding, audit processes, and documentation standards.Answering coding and compliance questions from providers and staff.Serving as a resource for physicians to help link ICD10-CM coding guidelines and medical technology to improve accuracy of final code assignment.Querying physicians on a concurrent basis and utilizing software systems to collect, track, and report outcomes.Maintaining integrity of data collection.Collaborating with external coding staff to promote complete and accurate clinical documentation and correct negative trends. Leading advanced project-based work on topics to advance documentation initiatives in clinical practice.Participating in department and organizational projects related to clinical documentationServing as the primary contact for staff workflows and education, including managing orientations, updating training materials, conducting audits, and monitoring industry practices and ICD code updates. Initiates and performs documentation review of selected records to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation exists.Analyzing clinical information to identify areas within the chart for potential gaps in physician documentation.Collaborating with hospital compliance and Share Service Center – Coding and billing to manage clinical validation denials.Collaborating on appeal processes and assessing trends to support proactive improvements. Creating and implementing training and development programs for prescribers to address documentation.Helping to identify trends, variances, deficiencies, and problems utilizing data to support proposals to leadership and target education efforts.Working 40 hours, Monday-Friday. Hybrid/remote approximately 2-3 days per week on site, requiring flexibility depending on needs.The Clinical Documentation Integrity Educator must have:Licensed Clinician including LPN, RN, PT, OT, Speech-Language, Pharmacist.Bachelor's degree or equivalent level or work experience. CPT coding certification required or willingness to become certified within 6 months of hire)Minimum of 3 years recent, broad-based clinical experience required, experience in both inpatient and outpatient settings preferred.2 years of clinical chart review experience applying ICD coding knowledge to medical record review
Full Time
5/14/2025
Boston, MA 02298
(34.2 miles)
Please note there is a 6 week/40 hours a week training commitment is required which could include day/evening/overnight training before you go into your shift. 5:30pm-2:00amEmergency Department - 24 hours Providing positive and effective customer service that supports departmental and hospital administrative operations.Scheduling patient encounters and procedures to coordinate within and across providers, departments, and institutions.Answering, screening and routing telephone calls. Recording and forwarding messages and triaging calls for urgent information or services. Responding to requests for routine information or assisting within scope of knowledge and authority. Initiating calls for emergency services as required.Collaborating and communicating with referring providers and practices to facilitate management of complex patient issues.Greeting and directing patients, families and visitors.Monitoring daily schedule and patient flow to optimize resource utilization and patient experience.Communicating with clinicians and/or supervisors and routing patients/visitors to maintain efficient patient/visitor flow.Serving as a liaison with Engineering, ESD, Biomedical Engineering, and Materials Management to resolve equipment, supply, cleaning and safety issues; Following through on identified problems.Collecting and organizing medical records, information, materials and supplies required for admissions or encounters. Preparing requisitions and other standard forms as requested by clinician or supervisor.Verifying, recording and processing patient demographics, insurance/payment and referral information for patient encounters. Collecting all necessary clinical documentation and information.Collecting, compiling and forwarding related documentation for reimbursement.To qualify, you must have:Superb customer service, keen attention to detail, strong computing skills with ability to learn new software quickly and ability to work in multiple systems simultaneously. A minimum of five shifts in a six-week period are required and must include some weekend shifts. Holiday shifts are required. Training requires approximately 6-8 weeks equivalent of full time shifts.Ability to work independently and as part of a team.A high school level of educational development and preferred experience such as customer service, administrative, or experience in a health care setting. Bachelor's Degree preferred.The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations. Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.#Li-Onsite
Full Time
6/8/2025
Boston, MA 02298
(34.2 miles)
*PER Positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions (Not eligible for internal folks)The Sr Patient Experience Representative will be responsible for: Patient Encounter Management:Providing positive and effective customer service that supports unit operationsCollaborating with referring providers and practicesObtaining required authorizations to compile patient and staff schedulesScheduling patients and supporting the entire patient encounterAdministrative:Maintaining personal calendars for physician/supervisor(s)Reconciling physician calendar with hospital and departmental scheduling applications for 100% accuracyCollaborating closely with physicians and other members of the physicians’ support teamProactively monitoring physician schedule and coordinating flowScheduling meetings, programs and eventsRecording and forwarding messages, triaging calls for urgent information or services, initiating calls for emergency servicesProviding routine clerical support as neededProcess Improvement:Actively contributing to departmental and organizational initiatives and projects with a focus on continuous process improvementAssisting in implementing change in internal systems and proceduresSchedule: Monday - Friday, Hybrid. This position is based in Boston, but may occasionally include our other Ophthalmology Offices in Waltham and Mass Eye & Ear Boston with advance notice as department or physician need arises.To qualify, you must have: High School Diploma/GED required, Bachelor’s degree preferred1 year of healthcare administration experience required Ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situationsAbility to work with diverse internal and external constituenciesBoston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. #LI-HYBRID
Full Time
5/18/2025
Jamaica Plain, MA 02130
(30.3 miles)
*PER Positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions (Not eligible for internal applicants)This Patient Experience Representative will be within our Early Intervention Program located at the Martha Eliot Health Center and will be responsible for:Patient Encounter Management:Providing positive and effective customer service that supports unit operationsCollaborating with referring providers and practicesObtaining required authorizations to compile patient and staff schedulesScheduling patients and supporting the patient encounterCheck In / Check Out:Greeting and directing patients, families and visitorsMonitoring daily schedule and coordinating flow with clinicians/supervisorReconciling payments and preparing deposits, providing record of transactions in Hospital systemsAdministrative:Entering client information and sessions in THOM BILLING SYSTEMEntering client demographic and related information into the Early Intervention Client SystemRecording and forwarding messages, triaging call for urgent information or services, initiating call for emergency servicesProviding routine clerical support as neededSchedule- M-F 8-5pm (hybrid)To qualify, you must have:A high school level of education required. Bachelor's Degree preferredRequired Experience: Internal candidates: Minimum 6 months as a PER; External candidates: Minimum of 6 months relevant healthcare experienceMS teams and Smartsheet commands strongly preferred.The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situationsThe ability to work with diverse internal and external constituenciesBoston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Full Time
6/1/2025
Boston, MA 02298
(34.2 miles)
(PER Positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions- internal folks are not eligible for sign on bonus)The Department of Pediatric Radiology provides a full range of imaging services for newborns, infants, children, teenagers, young adults, and pregnant women at Boston Children's Hospital and our satellite clinics in Lexington, North Dartmouth, Peabody, Waltham, and Weymouth. We provide individualized care for each patient to obtain the highest quality images and ensure the most accurate diagnoses using the most sophisticated imaging equipment available. The Patient Experience Representative I will be responsible for: Customer Service:Demonstrating positive and effective customer service that supports departmental and hospital operations.Greeting, screening and directing patients, families and visitors.Registering new patients upon arrival.Patient Registration/Discharge:Monitoring clinic activity to ensure best possible patient experience.Recording and processing patient demographics, insurance/payment, and referral information for patient encounters.Collecting all necessary clinical documentation and information. Transcribing code and patient treatment information into a billing system.Obtaining required authorizations, referrals and verifications of insurance to compile patient and staff schedules.Scheduling:Scheduling patient encounters and procedures to coordinate with and across providers, departments and institutions.Monitoring daily schedule and coordinating flow to optimize resource utilization and patient experience.Administration:Maintaining personal calendars for physician/supervisor(s).Scheduling meetings, programs and events.Transcribing, typing and proofreading correspondence, forms, reports and other materials involving complex scientific, technical and/or specialized terminology.Recording and forwarding messages, triaging call for urgent information or services, initiating call for emergency services.Participating in the purchasing of inventory.Providing routine clerical support as needed.Technology:Utilizing all office technology, including phone systems, email, Microsoft Office programs, and clinical, scheduling and billing applications.Enrolling patients and caregivers in patient portal.Schedule: 100% Onsite Only - Wed 3pm-11pm, Sat 7am-11pm, Sun 12pm-6pm (flexible)+ evening/weekend shift differential - opportunity to take call and pick up shifts when availableTo qualify, you must have:High School Diploma/GED required.Previous customer service and/or administrative experience preferred.Basic customer service and computer skills required.Ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.Ability to work with diverse internal and external constituencies.Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
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