RN Clinical Documentation Specialist I - CDI & DRG Accuracy

Medical University Hospital Authority (MUHA); United States; In loco; USD 85.000 - 110.000; Tempo pieno

Descrizione del lavoro

Medical University Hospital Authority (MUHA) seeks an RN with Clinical Documentation Specialist II/I focus to review inpatient records and optimize documentation for accurate DRG assignment and improved patient severity metrics. The role emphasizes collaboration with providers to ensure precise coding reflecting outcomes and mortality risk.

The ideal candidate holds a Bachelor’s in Nursing with RN licensure and 5+ years of nursing, including pediatric inpatient or ED exposure, CDI experience

Competenze

• Bachelor's degree in nursing and at least 5+ years of experience as an RN, including 3 years in pediatric inpatient or ED.
• Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state.
• CDI experience preferred; strong clinical knowledge and critical thinking abilities.
• Ability to establish cooperative working relationships with diverse groups and healthcare professionals.

Mansioni

• Review inpatient electronic medical records to identify missing or vague diagnoses for accurate DRG assignment.
• Collaborate with and facilitate provider documentation to reflect patient severity and risk of mortality.
• Participate in quality metrics interpretation and educational opportunities across the system.

Conoscenze

Critical thinking

Clinical collaboration

Documentation improvement

Provider communication

Formazione

Bachelor's degree in nursing

RN licensure (SC Board/compact)

Descrizione del lavoro

Medical University Hospital Authority (MUHA) seeks an RN with Clinical Documentation Specialist II/I focus to review inpatient records and optimize documentation for accurate DRG assignment and improved patient severity metrics. The role emphasizes collaboration with providers to ensure precise coding reflecting outcomes and mortality risk.

The ideal candidate holds a Bachelor’s in Nursing with RN licensure and 5+ years of nursing, including pediatric inpatient or ED exposure, CDI experience