RN CDI Specialist I - Elevate DRG Accuracy & Care Quality

MUSC; South Carolina; On-site; USD 65,000 - 90,000; Full time

Job summary

The Medical University of South Carolina seeks a RN – Clinical Documentation Specialist I to interpret quality metrics and collaborate with providers to ensure accurate DRG assignment and patient severity of illness. The role reports to the Manager, Clinical Documentation and supports CDI integrity across the system.

Requires RN licensure and strong clinical and critical-thinking skills, with experience in inpatient records reviews and cross-disciplinary cooperation.

Qualifications

• Bachelor's degree in nursing from an accredited school of nursing and at least five years' clinical nursing experience preferred.
• Strong clinical experience and critical thinking skills required.
• Extensive knowledge of patient care, and knowledge of clinical measurement tools and clinical outcomes; ability to establish cooperative working relationships with diverse groups and individuals, medical staff and other health care disciplines.
• Licensure as a registered nurse by the South Carolina Board of Nursing or compact state.

Responsibilities

• Review inpatient electronic medical records to identify missing, vague, or incomplete diagnoses and collaborate with providers to accurately reflect DRG assignment, patient severity of illness and risk of mortality.
• CDI specialist risk adjusts for expected mortality/length of stay and clinically validates key diagnoses.
• Participate in ICCE meetings, QAPI, and other identified educational opportunities across the system.

Skills

Clinical nursing

Critical thinking

Patient care

Interdisciplinary collaboration

RN licensure

Education

Bachelor's degree in nursing

Five years of clinical nursing experience

Job description

The Medical University of South Carolina seeks a RN – Clinical Documentation Specialist I to interpret quality metrics and collaborate with providers to ensure accurate DRG assignment and patient severity of illness. The role reports to the Manager, Clinical Documentation and supports CDI integrity across the system.

Requires RN licensure and strong clinical and critical-thinking skills, with experience in inpatient records reviews and cross-disciplinary cooperation.