Clinical Outcomes Manager
 Spaulding Hospital - Boston and Cambridge | |
 United States, Massachusetts, Boston | |
| 300 1st Avenue (Show on map) | |
 Jan 27, 2025 | |
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Summary
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 Essential Functions -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 Physical Requirements
The Spaulding Rehabilitation Hospital Corporation 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. | |