RN CDI Specialist I: Elevate Documentation Quality

Medical University of South Carolina; Northern (KY); Hybrid; USD 85,000 - 100,000; Full time

Job summary

The RN – Clinical Documentation Specialist I at Medical University of South Carolina reviews inpatient electronic medical records to identify missing or vague diagnoses and collaborates with providers to ensure DRG assignment and patient severity and mortality risk reflect true conditions. This role supports quality metrics and participates in ICCE meetings and QAPI initiatives across MUSC.

Requires a Bachelor's degree in nursing and at least five years of clinical nursing experience, plus RN

Qualifications

• Bachelor's degree in nursing from an accredited program.
• RN licensure by SC Board or compact state; 5+ years clinical nursing preferred.

Responsibilities

• Review inpatient records to identify missing or vague diagnoses.
• Collaborate with providers to ensure accurate DRG assignment.
• Interpret quality metrics and participate in ICCE meetings and QAPI initiatives.

Skills

Nursing experience

Clinical documentation

Interdisciplinary collaboration

RN licensure

Education

Bachelor's degree in nursing

RN licensure

Job description

The RN – Clinical Documentation Specialist I at Medical University of South Carolina reviews inpatient electronic medical records to identify missing or vague diagnoses and collaborates with providers to ensure DRG assignment and patient severity and mortality risk reflect true conditions. This role supports quality metrics and participates in ICCE meetings and QAPI initiatives across MUSC.

Requires a Bachelor's degree in nursing and at least five years of clinical nursing experience, plus RN