CDI Nurse Specialist: Elevate Clinical Documentation

Lexington Medical Center; West Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Day ONE medical, dental and life保险

FSAs for health care and dependent

403(b) match from day one

Employer paid life insurance

Student loan forgiveness

Job summary

Lexington Health seeks a Clinical Documentation Improvement Specialist to perform concurrent reviews, query physicians, and ensure accurate documentation supporting DRG assignment and patient severity.

Role requires RN licensure in South Carolina, 3 years acute care experience, and CCDS/CDIP certification or eligibility within 2 years. Join a network focused on improving care and documentation quality.

Qualifications

• Associate's Degree in Nursing (minimum)
• 3 years of clinical experience in an acute care setting
• RN license to practice in SC; CCDS/CDIP certification or eligible within 2 years

Responsibilities

• Collaborates with providers to assign working DRGs and identify diagnoses/procedures
• Verifies documentation accuracy and completeness for medical necessity and DRG outcomes
• Conducts thorough medical record review for initial and extended-stay cases to identify MCCs/CCs, PSI, HAC, and mortality risk

Skills

Clinical documentation

Communication

Team collaboration

Education

Associate’s Degree in Nursing

Job description

Lexington Health seeks a Clinical Documentation Improvement Specialist to perform concurrent reviews, query physicians, and ensure accurate documentation supporting DRG assignment and patient severity.

Role requires RN licensure in South Carolina, 3 years acute care experience, and CCDS/CDIP certification or eligibility within 2 years. Join a network focused on improving care and documentation quality.