Lead Clinical Documentation Integrity Specialist

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

Summary: This role supports the clinical documentation by providing leadership, guidance, training, and problem resolution to less experienced staff. This position is responsible for ensuring accurate documentation of patient conditions to improve care quality, compliance, and reimbursement. As a leader in this space, the role plays a key role in driving documentation best practices, serving as a compliance resource, and mentoring team members on effective, regulatory-compliant documentation. Does this position require Patient Care? Essential Functions Reviews and analyzes patient records to identify opportunities for improving clinical documentation.

Provides education and guidance to physicians and clinical staff on documentation best practices and standards. Collaborates with coding and billing teams to ensure alignment between clinical documentation and coding requirements. Mentors, trains, and assists junior team members with day-to-day inquiries. Develops and implements strategies to address documentation gaps and improve accuracy. Conducts audits of medical records to monitor compliance and identify trends or areas for improvement. Prepares reports and presentations on documentation quality and outcomes for leadership and stakeholders. Serves as a resource for clinical staff on documentation policies, regulatory requirements, and hospital procedures. Participates in multidisciplinary meetings and initiatives to support continuous improvement in clinical documentation