South Carolina Licensed Clinical Documentation Specialist

Job Summary

To support clinical documentation efforts, the full-time salaried South Carolina Licensed Clinical Documentation Specialist will conduct reviews of inpatient electronic medical records to identify and facilitate accurate provider documentation, ensuring appropriate DRG assignment and risk adjustment for patient outcomes.

Key responsibilities

• Conduct reviews of inpatient electronic medical records to identify missing or incomplete diagnoses
• Collaborate with healthcare providers to enhance documentation accuracy and reflect patient severity of illness
• Participate in quality metrics interpretation and educational opportunities across the healthcare system

Required qualifications

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