Clinical Documentation Integrity Specialist, Cooley Dickinson Hospital , Remote

Mass General Brigham is an integrated healthcare system driven by a mission to advance patient care, research, and education. We are committed to fostering a culture of innovation, equity, and excellence. Our values of inclusivity, collaboration, and integrity guide how we work together to deliver high-quality care.

About the Opportunity

We are seeking a Clinical Documentation Integrity (CDI) Specialist who will play a pivotal role in improving the quality, completeness, and accuracy of clinical documentation. By working closely with medical teams, you'll ensure health records fully reflect the exceptional care provided, aligning with industry standards and supporting critical hospital reporting measures.

This position combines clinical knowledge with collaboration, problem-solving, and a shared commitment to excellence. You'll be integral in shaping accurate documentation that influences outcomes, quality reporting, and overall healthcare delivery.

Your Responsibilities

• Conduct concurrent reviews of clinical documentation to ensure accuracy and completeness.
• Collaborate with healthcare teams, including medical, nursing, and coding staff, to identify documentation improvement opportunities.
• Assign working DRGs based on industry-standard guidelines and ensure appropriate reflection of patient conditions.
• Facilitate clear, professional, and compliant communication with providers to address incomplete or inconsistent documentation.
• Use clinical expertise to validate findings and support clinically credible queries for diagnoses or procedures.
• Meet or exceed key performance indicators (KPIs) for CDI activities.
• Apply Mass General Brigham values to guide decisions and actions, promoting a collaborative and inclusive work environment.

This is an exciting opportunity to make a meaningful impact on patient care and system-wide quality initiatives in a collaborative, inclusive environment.

Qualifications

• Licensure: Current RN license required.
• Experience: At least 5 years of acute medical/surgical nursing and at least 3 years of CDI experience is required.
• Certification: Clinical Documentation Improvement certification is preferred.

Why Join Us?

Impactful Work: Help drive initiatives that enhance the quality of care for our patients.

Flexibility: Enjoy the benefits of a predominantly remote role with occasional travel to Somerville, MA.

Collaborative Environment: Be part of a diverse and inclusive team that values innovation and continuous improvement.

Professional Growth: Opportunities for ongoing development and contributions to system-wide initiatives.

Due to the remote nature of the role, we ensure that our employees receive required technology and training to be proficient and independently productive in all job responsibilities regardless of work location. Employees are responsible for designating a workspace within the remote work location that is private, safe, ergonomic, and free from distractions for all hours worked.

Mass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.