Join us at Northeast Health Services, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Mental Health Therapists like you to make a difference in the field of behavioral health. We are committed to improving access to mental health care in our communities which means we are committed to being a great place to be a therapist. As a Therapist on our team, you will experience an environment where both you and your clients can thrive. Emerging, early career therapists appreciate a collaborative environment, where they are supported by a clinical team that prioritizes growth and development as they work to gain licensure. Our clinics provide a supportive space to practice therapeutic interventions and develop skills that impact our diverse local community. Licensed Therapists appreciate the ability to practice in a sustainable and personalized way, with the support of a clinical and administrative team. Leadership and supervision opportunities allow our Therapists to build a career that works for them while guiding the next generation of mental health providers. Key Responsibilities Conduct culturally sensitive, strength-based assessments for new clients and families, creating a welcoming and understanding environment for diverse backgrounds.Provide tailored outpatient individual and family therapy based on the unique needs and circumstances of each client, fostering a path to healing and resilience.Develop comprehensive crisis plans, safety plans, relapse prevention plans, and wellness plans, supporting the maintenance of stable functioning and empowering clients in their mental health journey.Actively participate in case consultations, agency meetings, and discharge planning, contributing your expertise to enhance client care.Ensure timely completion of billing, documentation, individualized treatment plans, and insurance authorization forms, upholding the highest standards of professional responsibility.Engage in collaborative care with our team of psychiatrists, nurse practitioners, dietitians, administrative staff, and fellow therapists, to provide a holistic approach to mental health care.Qualifications Possess a Master’s degree in Social Work, Counseling, Marriage and Family Counseling, or a related field.If required, provisional license per state regulation.Educational background that leads to or has resulted in professional licensing.Passionate about mental health and committed to providing high-quality care.Dedicated to ongoing professional development in mental health including free supervision and continuing education.Eager to collaborate with a multidisciplinary team to enhance client care.Strong commitment to ethical practice and maintaining confidentiality.Excellent communication skills and ability to build rapport with clients and families.Ability to manage time effectively and complete documentation and administrative tasks efficiently.Explore the Advantages of Joining Our Team:Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize the care that clients receive.Embrace a journey of growth and development through continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.Play a pivotal role in reshaping how mental health care is perceived and delivered in your local community as well as on a national scale, with your efforts directly improving client lives.Deliver mental health care in a sustainable way, with the support and tools you need to thrive.Thrive in an environment that celebrates collaborative success, driven by effective communication, support, and unity.Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

This Clinical Nurse Specialist will be responsible for:Provides expert consultation for patient/populations with complex health care needs, evaluating the impact of nursing interventions on patient outcomes evidence based practiceIntegrating knowledge, research findings, and experience to support the incorporation of evidence-based practice into excellent bedside nursing care.Initiates clinical inquiry, evidence-based practice and facilitates nursing research.Advances nursing practice by participation in professional organizations, publications and dissemination.Coordinates care and transitions in collaboration with the patient/population and inter-professional team members.Facilitates resolution of ethical conflicts in complex patient care situations.Supports an accountable nursing care environment that stimulates continuous self-learning, reflective practice and invites peer feedback to improve nursing practice.Demonstrates advanced interpersonal and communication skills, employs conflict management and negotiation skills to support a healthy work environment.Providing care to infants, children, and young adults with both acute and chronic diseases in medicine and behavioral health. Common populations include complex care, gastroenterology, pulmonary, endocrine, and behavioral health.Working primarily Monday-Friday day shift with some schedule flexibility needed to meet off-shift practice and educational needs of staff.To qualify, you must have:Master’s degree in Nursing and Current National Certification as a Clinical Nurse Specialist (CNS) granted by a Board recognized certifying organizationAPN certification and licensure in MAA minimum of 5 years of recent inpatient pediatric nursing experience. Excellent communication and collaboration skills.Previous CNS experience preferred. This Clinical Nurse Specialist (CNS)/Advanced Practice Nurse (APN) role is an indirect/direct care role. The CNS/APN is a key member of the programs nursing leadership team, responsible for advancing clinical practice.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.

Join us at Northeast Health Services, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Mental Health Therapists like you to make a difference in the field of behavioral health. We are committed to improving access to mental health care in our communities which means we are committed to being a great place to be a therapist. As a Therapist on our team, you will experience an environment where both you and your clients can thrive. Emerging, early career therapists appreciate a collaborative environment, where they are supported by a clinical team that prioritizes growth and development as they work to gain licensure. Our clinics provide a supportive space to practice therapeutic interventions and develop skills that impact our diverse local community. Licensed Therapists appreciate the ability to practice in a sustainable and personalized way, with the support of a clinical and administrative team. Leadership and supervision opportunities allow our Therapists to build a career that works for them while guiding the next generation of mental health providers. Key Responsibilities Conduct culturally sensitive, strength-based assessments for new clients and families, creating a welcoming and understanding environment for diverse backgrounds.Provide tailored outpatient individual and family therapy based on the unique needs and circumstances of each client, fostering a path to healing and resilience.Develop comprehensive crisis plans, safety plans, relapse prevention plans, and wellness plans, supporting the maintenance of stable functioning and empowering clients in their mental health journey.Actively participate in case consultations, agency meetings, and discharge planning, contributing your expertise to enhance client care.Ensure timely completion of billing, documentation, individualized treatment plans, and insurance authorization forms, upholding the highest standards of professional responsibility.Engage in collaborative care with our team of psychiatrists, nurse practitioners, dietitians, administrative staff, and fellow therapists, to provide a holistic approach to mental health care.Qualifications Possess a Master’s degree in Social Work, Counseling, Marriage and Family Counseling, or a related field.If required, provisional license per state regulation.Educational background that leads to or has resulted in professional licensing.Passionate about mental health and committed to providing high-quality care.Dedicated to ongoing professional development in mental health including free supervision and continuing education.Eager to collaborate with a multidisciplinary team to enhance client care.Strong commitment to ethical practice and maintaining confidentiality.Excellent communication skills and ability to build rapport with clients and families.Ability to manage time effectively and complete documentation and administrative tasks efficiently.Proficiency in Spanish or Portuguese is preferred.Explore the Advantages of Joining Our Team:Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize the care that clients receive.Embrace a journey of growth and development through continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.Play a pivotal role in reshaping how mental health care is perceived and delivered in your local community as well as on a national scale, with your efforts directly improving client lives.Deliver mental health care in a sustainable way, with the support and tools you need to thrive.Thrive in an environment that celebrates collaborative success, driven by effective communication, support, and unity.Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

The Autism Language Program (ALP) at Boston Children’s Hospital is seeking a full-time ASHA Certified Speech-Language Pathologist with Massachusetts licensure (or license eligibility) who specializes in Augmentative and Alternative Communication (AAC) with a focus on autism spectrum disorder (ASD). This is not a Clinical Fellowship position.The ALP provides dynamic, individualized evaluations and interventions for individuals with complex communication profiles. Clinicians are encouraged to pursue AAC-related research and develop specific clinical interests that align with the mission of the program.Location: Waltham outpatient clinic, with possible expansion to Brookline or other sites.Schedule: Full-time, on-site with potential hybrid flexibility in the future. One Saturday per month required, with potential for expanded Saturday coverage.Key Responsibilities:Perform AAC evaluations using a feature-matching approach for individuals with a primary diagnosis of ASDConduct dynamic communication and language evaluations across receptive, expressive, and speech functioning domainsInterview and counsel patients and families about communication disordersPlan and implement case management, follow-up, and referralsDocument and report evaluation results clearly and accuratelyCollaborate within and across departments to support patient careFollow all hospital and departmental policies and proceduresContribute to AAC-related research and/or develop projects within the scope of the clinical roleDevelop clinical specialties within AAC and autism that further the mission of the ALPMinimum QualificationsEducation:Master’s degree or higher in Speech-Language PathologyExperience:Minimum of 1 year of direct clinical experience using AAC tools (from no-tech to high-tech) in evaluation and treatmentMinimum of 1 year of clinical experience working with Level 2–3 autistic individuals with complex communication profiles (e.g., minimally speaking or non-speaking)Licensure/Certifications:ASHA Certification in Speech-Language Pathology (CCC-SLP)Massachusetts SLP license or license eligibilityBoston 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.

We are currently adding Therapist Interns to our growing team! As an intern at Northeast Health Services, you will have the opportunity to directly treat patients in a clinical setting.**Location: Taunton, Massachusetts.**Key Responsibilities:Under the purview of a supervisor:Conduct Culturally Sensitive, strength-based assessments for new patients and families Provide individual and family therapy to patients based on identified needs Complete billing, documentation, individualized treatment plans, and insurance authorization forms within specified time frames Develop crisis plans, safety plans (when needed), relapse prevention plans, and wellness plans to support the maintenance of stable functioningCreate a discharge plan Adhere to all current federal and state laws, regulatory requirements, as well as NEHS policies and proceduresParticipate in case consultation and agency meetings Complete all mandatory training Qualifications:In your final year of a Master of Social Work, Master’s in Mental Health Counseling, or a Master’s in Marriage and Family TherapyHas a strong interest in clinical outpatient mental health servicesExplore the Advantages of Joining Our Team:Paid internshipProvided with supervision and additional supportOpportunities to become full time employee’s post-graduationTransformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

Position Summary/Department Summary:We are seeking an experienced Physical Therapist to join our team, and help expand our pediatric pelvic floor program. Be a part of our inter-disciplinary team and provide high-quality, outpatient rehabilitation for our pediatric patients. In this position, you will work in the outpatient department treating clients of all genders with Pelvic Health issues including pelvic floor dysfunction, pelvic pain and incontinence, as well as developmental, orthopedic and neurological conditions as needed. Primary location will be at our Waltham, with initial training at the Boston location. This position will include regular Saturday coverage after completion of orientation period.Key Responsibilities:Completing comprehensive physical therapy assessment in alignment with department standards and guidelines for pediatric patients.Performing pelvic floor muscle assessment and treatment for patients with pelvic floor dysfunction. Must establish plan of care to achieve established goals relative to age, medical history and dysfunction.Working closely with a team of providers to provide integrated care and follow-up.Demonstrating professional competence and clinical reasoning in assessing patient’s condition at the onset and through all phases of skilled physical therapy.Performing diagnostic evaluations upon referral by physician. Verifying appropriateness of referral, contacting physician as necessary.Developing and implementing individualized patient treatment programs. Establishing treatment goals, and prescribing and administering appropriate physical therapy procedures.Preparing discharge plans and home treatment programs and providing instruction and education to patients and families. Monitoring treatment outcomes, modifying program as needed and communicating recommendations to physicians and other providers.Recording assessments, diagnoses and treatment in patient medical record according to established documentation standards. Preparing reports, correspondence, referrals and other materials for schools, providers, payors, and others as needed. Assigning standardized billing codes and corresponding charges required for reimbursement.Contributing to teamwork.Minimum QualificationsEducation:Bachelor's degree in Physical Therapy.Experience:3 years minimum pediatric PT experience required.Adult or Pediatric Pelvic floor experience preferred. Additional training and mentorship will be providedAPTA CAPP-Pelvic certification or equivalent advanced training/certification for pelvic floor PT is desired, but not required to be hired. Please NOTE- BCH will pay for CAPP-Pelvic certification, if hired.Excellent Analytical and Communication skills.Licensure/Certifications:Physical Therapist license in the state of MA.The position is based in Waltham, with training in Boston. Free parking in Waltham!The schedule, once off orientation, includes regular Saturday coverageNew hires are eligible for a $10,000 sign on bonus!Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare 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

Position Summary/Department Summary:Our Waltham location is looking for a per diem Saturday Physical Therapist to join their team! This position is primarily outpatient with inpatient coverage of the small unit in Waltham -predominately seeing patients after surgery for crutch trainingKey Responsibilities:Completing comprehensive physical therapy assessment in alignment with department standards and guidelines for pediatric patients.Reviewing patient medical history/record and selects, administers, and interprets standardized and non-standardized tests and measurements to assess patients’ functional status related to cardiopulmonary, developmental, musculoskeletal, neurological, and sensorimotor function.Integrating knowledge into clinical decisions and recommendationsDeveloping and implementing individualized patient treatment programs.Establishing treatment goals and administers appropriate physical therapy procedures and modalitiesDischarge plans and home treatment programs, and providing education to patients and familiesRecommending orthotics, adaptive/assistive equipment, and technology for patients with complex, rare, or multiple dysfunctions.Liaison with equipment designers and vendors regarding equipment specifications and patient needs.Training patients, families, and caretakers in the use/operation of prescribed orthotics/equipment, monitoring and evaluating effectiveness, and initiating modifications as needed.Recording assessments, diagnoses, and treatment inpatient medical records according to established documentation standards.Preparing reports, correspondence, referrals, and other materials for schools, providers, payers, and others as needed.Assigning standardized billing codes and corresponding charges required for reimbursement.Minimum QualificationsEducation:Bachelor's degree in Physical Therapy Experience:Minimum of one year of licensed PT experience preferredHospital based pediatric PT experience a plus!Licensure/Certifications:Physical Therapist license in the state of MAThis position is based in Waltham, with Saturday coverage needThis candidate MUST be able and available to train and orient during weekdays#LI-Onsite

Position Summary/Department Summary:We are currently seeking a 40-hour Inpatient Physical Therapist for our Boston location. Be a part of our inter-disciplinary team and provide high-quality, rehabilitation for our pediatric patients. Our PTs help patients from newborns to young adults gain movement, strength, coordination, balance, and function.Key Responsibilities:Completing comprehensive physical therapy assessment in alignment with department standards and guidelines for pediatric patients.Reviewing patient medical history/record and selects, administers, and interprets standardized and non-standardized tests and measurements to assess patients’ functional status related to cardiopulmonary, developmental, musculoskeletal, neurological, and sensorimotor function.Integrating knowledge into clinical decisions and recommendationsDeveloping and implementing individualized patient treatment programs.Establishing treatment goals and administers appropriate physical therapy procedures and modalitiesDischarge plans and home treatment programs, and providing education to patients and familiesRecommending orthotics, adaptive/assistive equipment, and technology for patients with complex, rare, or multiple dysfunctions.Liaison with equipment designers and vendors regarding equipment specifications and patient needs.Training patients, families, and caretakers in the use/operation of prescribed orthotics/equipment, monitoring and evaluating effectiveness, and initiating modifications as needed.Recording assessments, diagnoses, and treatment inpatient medical records according to established documentation standards.Preparing reports, correspondence, referrals, and other materials for schools, providers, payers, and others as needed.Assigning standardized billing codes and corresponding charges required for reimbursement.Minimum QualificationsEducation:Bachelor’s degree in physical therapyExperience:Minimum one to two years of previous PT experience ideal, pediatric hospital based experience preferred.Licensure/Certifications:Physical Therapist licensure in the state of MASchedule is M-F; weekend and holiday rotationNew Hires are eligible for a $5,000 sign on bonus!

Position Summary/Department Summary:We are currently seeking a 40-hour Outpatient Physical Therapist for our Boston location. Be a part of our inter-disciplinary team and provide high-quality, rehabilitation for our pediatric patients. Our PTs help patients from newborns to young adults gain movement, strength, coordination, balance, and function.Key Responsibilities:Performing complex diagnostic evaluations upon referral and in accordance with departmental and professional guidelines and standardsReviewing patient medical history/record and selects, administers, and interprets standardized and non-standardized tests and measurements to assess patients’ functional status related to cardiopulmonary, developmental, musculoskeletal, neurological, and sensorimotor function.Integrating knowledge into clinical decisions and recommendationsDeveloping and implementing individualized patient treatment programs.Establishing treatment goals and administers appropriate physical therapy procedures and modalitiesDischarge plans and home treatment programs, and providing education to patients and familiesRecommending orthotics, adaptive/assistive equipment, and technology for patients with complex, rare, or multiple dysfunctions.Liaison with equipment designers and vendors regarding equipment specifications and patient needs.Training patients, families, and caretakers in the use/operation of prescribed orthotics/equipment, monitoring and evaluating effectiveness, and initiating modifications as needed.Recording assessments, diagnoses, and treatment inpatient medical records according to established documentation standards.Preparing reports, correspondence, referrals, and other materials for schools, providers, payers, and others as needed.Assigning standardized billing codes and corresponding charges required for reimbursement.Minimum QualificationsEducation:Bachelor’s degree in Physical TherapyExperience:One to two years of previous physical therapy experience preferred. Pediatric experience is highly preferred.Licensure/Certifications:Active Physical Therapist licensure in the state of MASchedule is M-FNew hires are eligible for a $5,000 sign-on bonus!Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare 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.

Position Summary/Department Summary:We are currently seeking a 20-hour Physical Therapist for our Boston location. Be a part of our inter-disciplinary team and provide high-quality, rehabilitation for our pediatric patients.Key Responsibilities:Completing comprehensive physical therapy assessment in alignment with department standards and guidelines for pediatric patients.Reviewing patient medical history/record and selects, administers, and interprets standardized and non-standardized tests and measurements to assess patients’ functional status related to cardiopulmonary, developmental, musculoskeletal, neurological, and sensorimotor function.Integrating knowledge into clinical decisions and recommendationsDeveloping and implementing individualized patient treatment programs.Establishing treatment goals and administers appropriate physical therapy procedures and modalitiesDischarge plans and home treatment programs, and providing education to patients and familiesRecommending orthotics, adaptive/assistive equipment, and technology for patients with complex, rare, or multiple dysfunctions.Liaison with equipment designers and vendors regarding equipment specifications and patient needs.Training patients, families, and caretakers in the use/operation of prescribed orthotics/equipment, monitoring and evaluating effectiveness, and initiating modifications as needed.Recording assessments, diagnoses, and treatment inpatient medical records according to established documentation standards.Preparing reports, correspondence, referrals, and other materials for schools, providers, payers, and others as needed.Assigning standardized billing codes and corresponding charges required for reimbursement.Minimum QualificationsEducation:Bachelor’s degree in physical therapyExperience:Minimum one to two years of previous PT experience, pediatric hospital based preferred.Licensure/Certifications:Physical Therapist licensure in the state of MAThis 20-hour position is eligible for part-time benefits! Schedule is weekdays, M-F. New Hires are eligible for a $2,500 sign on bonus!Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare 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.

Position Summary/Department Summary:We are currently seeking a per diem Physical Therapist for our Boston location. Be a part of our inter-disciplinary team and provide high-quality, rehabilitation for our pediatric patients.Key Responsibilities:Completing comprehensive physical therapy assessment in alignment with department standards and guidelines for pediatric patients.Reviewing patient medical history/record and selects, administers, and interprets standardized and non-standardized tests and measurements to assess patients’ functional status related to cardiopulmonary, developmental, musculoskeletal, neurological, and sensorimotor function.Integrating knowledge into clinical decisions and recommendationsDeveloping and implementing individualized patient treatment programs.Establishing treatment goals and administers appropriate physical therapy procedures and modalitiesDischarge plans and home treatment programs, and providing education to patients and familiesRecommending orthotics, adaptive/assistive equipment, and technology for patients with complex, rare, or multiple dysfunctions.Liaison with equipment designers and vendors regarding equipment specifications and patient needs.Training patients, families, and caretakers in the use/operation of prescribed orthotics/equipment, monitoring and evaluating effectiveness, and initiating modifications as needed.Recording assessments, diagnoses, and treatment inpatient medical records according to established documentation standards.Preparing reports, correspondence, referrals, and other materials for schools, providers, payers, and others as needed.Assigning standardized billing codes and corresponding charges required for reimbursement.Minimum QualificationsEducation:Bachelor's degree in Physical TherapyExperience:Minimum one to two years of previous PT experience, pediatric hospital based preferred.Licensure/Certifications:Physical Therapist licensure in the state of MA

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