RN Clinical Documentation Specialist I: Elevate Patient Care

Medical University of South Carolina (MUSC); United States; Vor Ort; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

The Medical University of South Carolina is seeking an RN – Clinical Documentation Specialist I to review inpatient electronic medical records and collaborate with providers to ensure accurate DRG assignment.

Reporting to the Manager, Clinical Documentation, this role supports quality metrics, participates in ICCE meetings and QAPIs, and requires a BSN with at least five years of clinical nursing experience and SC RN licensure.

Qualifikationen

• RN with strong clinical nursing background
• CDI knowledge or experience preferred
• Ability to interpret quality metrics

Aufgaben

• Review inpatient electronic medical records to identify missing or vague diagnoses
• Collaborate with providers to ensure accurate DRG assignment
• Assist in risk adjustment and validate key diagnoses
• Participate in ICCE meetings and QAPI initiatives

Kenntnisse

Clinical documentation

Critical thinking

Quality metrics

Team collaboration

Ausbildung

Bachelor's degree in Nursing

Tools

EMR review tools

Jobbeschreibung

The Medical University of South Carolina is seeking an RN – Clinical Documentation Specialist I to review inpatient electronic medical records and collaborate with providers to ensure accurate DRG assignment.

Reporting to the Manager, Clinical Documentation, this role supports quality metrics, participates in ICCE meetings and QAPIs, and requires a BSN with at least five years of clinical nursing experience and SC RN licensure.