Full-Time

RN Clinical Documentation Specialist

Confirmed live in the last 24 hours

Medical University of South Carolina

Medical University of South Carolina

Senior

North, SC, USA

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • Bachelor's degree in Nursing from an accredited school of nursing
  • Minimum of five years clinical nursing experience required
  • Strong clinical experience and critical thinking skills required
  • Extensive knowledge of patient care
  • Knowledge of clinical measurement tools and clinical outcomes
  • Ability to establish cooperative working relationship with diverse groups and individuals, medical staff and other health care disciplines
  • Program and database development a plus
  • Licensure as a registered nurse by the South Carolina Board of Nursing or compact state
  • Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required
Responsibilities
  • Analyzing and auditing medical records concurrently to ensure that the clinical information within the medical record is specific, accurate, clinical valid, complete, and compliant
  • Educating physicians, non-physician clinicians, nurses, and other staff to facilitate documentation within the medical record that reflects the most accurate severity of illness, expected risk of mortality, hospital acquired conditions, patient safety indicators, hierarchical condition categories, and level of service rendered
Medical University of South Carolina

Medical University of South Carolina

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