Documentation Specialist RN - Case Management

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Location: Beverly, MA
Job ID: 155920-1A
Date Posted: Feb 21, 2020
Category: Nursing

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Job Description

Welcome To

Beverly Hospital  is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

Beverly Hospital, A member of Lahey Health, promotes the culture and philosophy which enables employees to give and receive the best of care.  You can become a part of the team that achieves this success through our CREATE values of Compassion, Respect, Excellence, Accountability, Teamwork, and Empathy. 

Position Summary:

Reviews 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.

Scheduled Hours

Per diem, hours assigned as needed.

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.



1. Current Massachusetts RN licensure required. RHIA, RHIT, CCS a plus

Experience in physician documenatation. improvement required.


1. Bachelors degree preferred

2. Minimum five(5) years experience in medical surgical nursing an two(2) years experience as a hospital CDIS

3. Experience in physician documentation improvement required.