Clinical Documentation Specialist I- Pediatrics

Job Description Summary The RN (Registered Nurse) – Clinical Documentation Specialist I report to their respective Manager, Clinical Documentation. Under general supervision, the RN – Clinical Documentation Specialist I conduct reviews of inpatient electronic medical records to identify missing, vague, and/or incomplete diagnoses and collaborate with and facilitate appropriate provider documentation to accurately reflect appropriate DRG (Diagnosis Related Group) assignment, patient severity of illness and risk of mortality. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005073 CHS OH - Clinical Documentation Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 40 Work Shift Job Description Minimum Qualifications: Bachelor's degree in nursing from an accredited school of nursing and at least 5+ years of experience as a Registered Nurse, including at least 3 years of experience working in a Pediatric Inpatient or Emergency Department setting experience preferred. Licensure as a registered nurse by the South Carolina Board of Nursing or compact state. CDI experience highly preferred. Strong clinical experience and critical thinking skills required. Extensive knowledge of patient care, and knowledge of clinical measurement tools and clinical outcomes; ability to establish cooperative working relationships with diverse groups and individuals, medical staff and other health care disciplines. The RN (Registe