RN Clinical Documentation Specialist I — Elevate Care Quality

Medical University of South Carolina; Marion (IN); On-site; USD 90,000 - 130,000; Full time

Job summary

The Medical University of South Carolina is seeking an RN – Clinical Documentation Specialist I to review inpatient electronic medical records and guide physicians toward accurate documentation of illness severity and mortality risk. You will collaborate with medical staff, UR, coding, HIS, quality, and the Center for Clinical Effectiveness to improve documentation quality.

Requirements include a Bachelor’s degree in nursing and at least five years of clinical nursing experience, active RN

Qualifications

• Bachelor’s degree in nursing and at least five years of clinical nursing experience.
• Active registered nurse licensure in South Carolina or a compact state.
• Strong clinical knowledge and critical thinking skills.

Responsibilities

• Review inpatient electronic medical records to identify missing or vague diagnoses.
• Facilitate physician documentation to reflect severity of illness and risk of mortality.
• Educate physicians and staff to improve documentation quality.

Skills

Clinical nursing experience

Critical thinking

Interdisciplinary collaboration

Education to physicians

Education

Bachelor’s degree in nursing

Job description

The Medical University of South Carolina is seeking an RN – Clinical Documentation Specialist I to review inpatient electronic medical records and guide physicians toward accurate documentation of illness severity and mortality risk. You will collaborate with medical staff, UR, coding, HIS, quality, and the Center for Clinical Effectiveness to improve documentation quality.

Requirements include a Bachelor’s degree in nursing and at least five years of clinical nursing experience, active RN