Clinical Documentation Integrity Specialist – RN

🕒 October 15, 2025

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Logo of Beth Israel Lahey Health

Beth Israel Lahey Health

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Beth Israel Lahey Health is a comprehensive healthcare system providing a wide range of medical services and care options to communities in Massachusetts and New Hampshire. With a network of 14 hospitals, including community hospitals and specialized centers for orthopedic and behavioral health care, they offer personalized care for all health needs. Their services include emergency care, primary care, urgent care, pharmacy services, home care, and more. Dedicated to improving community health and well-being, Beth Israel Lahey Health is committed to research, education, and providing extraordinary care through its 39,000 team members.

📋 Description

• Completes initial reviews of patient records within 24-48 hours of admission • Evaluates documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment • Tracks review details in 3M software • Conducts follow-up reviews of patients every 2 days • Queries physicians regarding missing, unclear, or conflicting medical record documentation • Educates physicians and key healthcare providers regarding clinical documentation improvement • Collaborates with the CDI Manager & Physician Advisor and other ancillary staff regarding documentation • Provides orientation for new clinical staff regarding documentation requirements

🎯 Requirements

• Associate’s degree required • RN license required • 3-5 years of related work experience in a clinical nursing practice • Experience with computer systems including web-based applications and Microsoft Office applications • Experience with DRG Reimbursement and ICD-10 Coding preferred • Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Documentation Improvement Professional (CDIP) preferred

🏖️ Benefits

• Health insurance • Competitive salary • Professional development opportunities • Flexible work arrangements

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