Clinical Outcomes Manager - Spaulding

Responsible for improving clinical outcomes by managing, analyzing, and optimizing coding practices, clinical documentation, and healthcare transcription. Works closely with healthcare teams to ensure accurate documentation that supports patient care, quality initiatives, and regulatory compliance. Does this position require Patient Care? No -Reviews and monitors clinical documentation to ensure accuracy and completeness in coding and transcription practices. -Collaborates with healthcare providers to improve documentation standards, aligning with best practices and regulatory requirements. -Completes Inpatient Rehabilitation Facility (IRF-PAI) data, enters and transmits to CMS within federally mandated timeframes and organization policies for admissions and discharges (day 4 post-admit and day 3 post-discharge). -Monitors and ensures correct LOA dates are recorded on the IRF PAI. -Assures accurate Impairment Group Codes and co-morbidities in collaboration with coding and CDI staff to determine the correct length of stay estimate and CMG in adherence with CMS IRF Coding standards. -Communicates ELOS to clinical staff to assist with care/discharge planning. -Analyzes clinical data to identify trends, track patient outcomes, and assess areas for improvement in clinical documentation. -Implements training programs for clinical staff on accurate documentation, coding, and transcription standards. -Coordinates with quality improvement teams to support accurate data collection for performance metrics and patient safety initiatives. -Assesses clinical documentation for compliance with coding standards, ensuring proper billing and regulatory adherence. -Prepares detailed reports on clinical outcomes and documentation effectiveness for internal audits and external reporting.

Education
Associate's Degree Related Field of Study required or

Master's Degree Occupational Therapy required or

Master's Degree Speech Therapy required or

Doctor of Physical Therapy Physical Therapy required

Can this role accept experience in lieu of a degree? No

Licenses and Credentials
Registered Nurse [RN - Massachusetts License]

Speech-language Pathologist [Massachusetts License]

Physical Therapist [Massachusetts License]

Occupational Therapist [Massachusetts License]

Experience
Experience managing documentation quality or coding 1-2 years required and Previous Occupational Therapy, Physical Therapy, Speech Therapy or Registered Nurse experience 2-3 years required

IRF/Post-Acute care experience preferred

Knowledge, Skills and Abilities
- Expert knowledge of clinical documentation practices and coding standards.
- Strong analytical skills for data review and outcomes reporting.
- Excellent communication skills for interacting with clinical teams and providing documentation training.
- Proficiency in using electronic health records (EHR) systems.
- Attention to detail and ability to manage compliance requirements effectively.

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.