South Carolina Licensed Clinical Documentation Specialist

Job Summary

South Carolina Licensed Clinical Documentation Specialist conducts reviews of inpatient electronic medical records to ensure accurate documentation and DRG assignment, working full-time under general supervision.

Key Responsibilities

• Review inpatient electronic medical records to identify and address missing or incomplete diagnoses
• Collaborate with providers to ensure accurate documentation reflecting patient severity and risk of mortality
• Participate in quality improvement meetings and educational opportunities related to clinical documentation integrity

Required Qualifications

• Bachelor's degree in Nursing from an accredited school of nursing
• Minimum of five years clinical nursing experience preferred
• Licensure as a registered nurse by the South Carolina Board of Nursing or compact state
• Current Basic Life Support (BLS) certification from American Heart Association or American Red Cross
• Strong clinical experience and critical thinking skills