Documentation Specialist - Case Management

Location: Beverly, MA
Job ID: 165846-1A
Date Posted: Feb 9, 2021
Category: Nursing

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Job Description

Welcome To

Welcome to Beverly Hospital, part of Beth Israel Lahey Health. Beverly Hospital is a full service, community hospital providing leading-edge, patient-centered care to North Shore and Cape Ann residents. The hospital provides a full-range of state-of-the-art care and services including primary care, cardiovascular care, surgery, orthopedics, emergency care, maternity, pediatrics, as well as many other specialties. Beverly Hospital is nationally recognized for patient safety as it is one of only 42 hospitals in the United States to be awarded an “A” grade from The Leapfrog Group – the nation’s leading nonprofit watchdog on hospital quality and safety.


Beverly Hospital 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 Community, Respect, Excellence, Accountability, Teamwork and Empathy.


About the Job

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

40 hours per week, day shift.

About Us

Beth Israel Lahey Health is an integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what healthcare can and should be. We are committed to attracting, developing and retaining top talent. We strive to create a diverse and inclusive workplace that reflects the communities in which we work and serve. With a team approach to care, we encourage learning and growth at all levels and offer competitive salaries and benefits.

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



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


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 preferred

4. Current experience in an acute hospital setting and CDI experience preferred.

5. Previous direct experience preferred.