South Carolina Licensed Clinical Documentation Specialist

Job Summary

To enhance clinical documentation accuracy, the full-time South Carolina Licensed Clinical Documentation Specialist will review inpatient electronic medical records, identify documentation gaps, and collaborate with healthcare providers to ensure accurate DRG assignment and clinical validation.

Key responsibilities

• Conduct reviews of inpatient electronic medical records to identify missing or incomplete diagnoses
• Collaborate with healthcare providers to facilitate accurate documentation and DRG assignment
• Participate in quality metrics interpretation and relevant educational opportunities across the system

Required qualifications

• Bachelor's degree in nursing from an accredited nursing school
• Licensure as a registered nurse by the South Carolina Board of Nursing or compact state
• At least five years of clinical nursing experience preferred
• Strong clinical experience and critical thinking skills required
• Extensive knowledge of patient care and clinical measurement tools