Clinical Documentation Integrity Lead

2 weeks ago


Newton, United States Partners Healthcare System Full time

General Summary

Working collaboratively with and under the leadership of the Community Site Director, Clinical Documentation Integrity (CDI), the NWH CDI Lead will provide a key role in contributing to the long-term success of the Mass General Brigham CDI program.

* Facilitates the daily operational workflow of the NWH CDI dept
* Responsible for updating the team on NWH specific CDI reports provided by Solventum and MGB.
* Participate in ongoing process improvement activities.
* Provide content expertise and leadership in the implementation of initiatives as recommended by CDI leadership.
* Responsible for establishing cadence, assisting in agenda preparation, and generating minutes for monthly CDI RN meetings.
* Serve as a content expert resource, responsible for designing and supporting onboarding and ongoing education of CDI team members.
* Improve the quality of clinical documentation in the health record to support appropriate DRG assignment and accurately reflect the severity of illness and risk of mortality for each patient.
* Perform concurrent CDI reviews for designated patient populations in the acute care setting resulting in the identification of clinical documentation improvement opportunities.
* Serve as a role model for professional growth and development through participation in educational programs; attendance of in-service meetings and workshops; and reviews of current CDI literature.
* Support and promote management decisions, goals, and initiatives.
* Participate actively in problem solving and communication with the CDI team.
* Make independent decisions within the scope of the role.

RN with a current license required

3 years of clinical documentation improvement experience required



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