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Lahey Health RN - Clinical Documentation Improvement Specialist in Burlington, Massachusetts

Welcome To

Welcome to Lahey Hospital & Medical Center, part of Beth Israel Lahey Health. Lahey Hospital & Medical Center is a world-renowned tertiary medical center known for its innovative technology, pioneering medical treatment and leading-edge research. A teaching hospital of Tufts University School of Medicine, the hospital provides quality health care in virtually every specialty and subspecialty, from primary care to cancer diagnosis and treatment to kidney and liver transplantation. It is a national leader in a number of health care areas, including stroke, weight management and lung screenings, among many others. Lahey also helps to advance medicine through research and the education of tomorrow's health care leaders.

About the Job

The Clinical Documentation Improvement Specialist (CDIS) promotes the documentation of medical necessity and assists with appropriate identification of diagnoses, conditions and/or procedures that are representative of the patient’s Severity of Illness (SOI), Risk of Mortality (ROM), and resource consumption during an inpatient hospitalization. CDIS initiates concurrent and retrospective queries as supported by medical record documentation to improve the accuracy, integrity and quality of patient data, minimize variation in the query process and improve the quality of the physician documentation within the body of the medical record. They collaborate with the Manager of Coding and CDI , HIM Coders, medical staff and the Physician Validator to improve documentation and coding and medical staff knowledge of the importance of complete and accurate documentation.

Minimum Qualifications:

Education: RN, Bachelor’s degree desirable.

Licensure, Certification & Registration: RN; RN with CDIP, CCDS, CCS, RHIA highly desirable.

Experience :Must have at least 5 years inpatient coding experience and/or an RN or other healthcare clinician with at least 5 years acute care nursing experience (e.g., medical-surgical, ICU, case management, etc.).



Currently partial remote. 2-3 days on site in Burlington. Due to Covid it's been mostly remote and we're considering expanding remote days in the future but no guarantees. Possibility for weekend coverage.

About Us

Beth Israel Lahey Health is d edicated 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.

REQNUMBER: 169208-1A