Documentation Specialist - Clinical Reporting Analytics

Location: Beverly, MA
Job ID: 169763-1A
Date Posted: Aug 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 dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

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

Qualifications

Certification/License:


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

Experience in physician documenatation. improvement required.

Education/Experience:

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.