Clin Documentation Specialist – 40 hour, Days Position Available In Essex, Massachusetts

• Job Type:

• Regular

• Time Type:

• Full time

• Work Shift:

• Day (United States of America)

• FLSA Status:

• Exempt
• When you join the growing BILH team, you’re not just taking a job, you’re making a difference in people’s lives.
• Beverly, MA retains its small-town charm while offering big-city amenities. 35 miles northeast of Boston, Beverly is a postcard community showcasing all that New England has to offer and more!

• Job Description:

• As the Clinical Documentation Specialist, you will review physician documentation on a concurrent basis on selected DRG’s to ensure that severity of illness, intensity of services and risk of mortality are documented.

Ensures that documentation is complete, accurate, and substantiates the patients’ diagnosis and all applicable co-morbid conditions. Works with the Director of Coding and Care Coordination to educate the medical staff regarding the importance of complete and accurate documentation, which fully describes the clinical severity of the patient to validate the DRG. Works closely with clinical staff/departments to educate and improve the level of documentation. Prepares reports on results of audits for Administration as appropriate.

Certification/License:

1. Current Massachusetts RN licensure required.

RHIA, RHIT, CCS

a plus

Education/Experience:

1. Bachelor’s degree preferred 2. Minimum five (5) years experience in medical surgical nursing and two (2) years experience as a hospital CDIS

• As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and

COVID-19

as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.

• More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients’ lives. Your skill and compassion can make us even stronger.
• Equal Opportunity
• Employer/Veterans/Disabled

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