Clin Documentation Specialist – 40 hour, Days Position Available In Essex, Massachusetts
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Job Description
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 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 At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you’re busy caring for and supporting our patients, we take care of you.
