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RN-Clinical Documentation Specialist I

Company: Medical University of South Carolina
Location: Charleston
Posted on: March 26, 2020

Job Description:

The RN - Clinical Documentation Specialist I reports to the Manager, Clinical Documentation. Under general supervision, the RN - Clinical Documentation Specialist I conducts reviews of inpatient electronic medical records to identify missing, vague, and/or incomplete diagnoses and facilitates appropriate physician documentation to accurately reflect patient severity of illness and risk of mortality. In collaboration with the medical staff, faculty and residents, HPA, UR, coding, HIS, Quality and the Center for Clinical Effectiveness, this role is charged with improving the quality of documentation for physicians and all caregivers.

Keywords: Medical University of South Carolina, Charleston , RN-Clinical Documentation Specialist I, Healthcare , Charleston, South Carolina

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