Clinical Documentation Specialist (RN)- Per Diem

Beverly Hospital, A member of Beth Israel 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 We Care values.

We create healthier communities — one person at a time — through seamless care and ground-breaking science, driven by excellence, innovation and equity. 

As the Clinical Documentation Specialist, you will review 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. 

Certification/License: 

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

Education/Experience: 

1.      Bachelor's degree preferred 

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