Remote CDI RN Elevate Documentation & DRG Accuracy

Beth Israel Lahey Health; Boston (MA); Remote; USD 70,000 - 90,000; Full time

Job summary

A health care organization is seeking a Clinical Documentation Improvement Specialist (RN) to enhance the accuracy and quality of patient documentation. The ideal candidate will have experience in clinical nursing and a strong ability to work with interdisciplinary teams. Responsibilities include reviewing patient records, providing guidance to clinicians, and ensuring adherence to documentation standards. This position requires a flexible approach in a changing environment with a focus on improvement.

Qualifications

• Registered Nurse (RN) license required.
• 3-5 years of related clinical nursing practice.
• Experience with computer systems, including web-based applications.

Responsibilities

• Completes reviews of patient records within 24-48 hours of admission.
• Tracks review details in coding software.
• Collaborates with healthcare providers to improve documentation.

Skills

Clinical documentation improvement

Communication skills

Flexibility

Interdisciplinary collaboration

Education

Associate’s degree

Bachelor's degree

Tools

3M software

Microsoft Office

Job description

A health care organization is seeking a Clinical Documentation Improvement Specialist (RN) to enhance the accuracy and quality of patient documentation. The ideal candidate will have experience in clinical nursing and a strong ability to work with interdisciplinary teams. Responsibilities include reviewing patient records, providing guidance to clinicians, and ensuring adherence to documentation standards. This position requires a flexible approach in a changing environment with a focus on improvement.