Documentation Specialist RN - Documentation Integrity
McLeod Health - Florence, SC

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Clinical Documentation Specialist Job Description Responsible for improving the overall quality and completeness of clinical documentation.
Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payer (Medicare, Medicaid, Champus and others). Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis.

Work Schedule

80hrs biweekly, Monday through Friday, days.

Department Description

Documentation Integrity

Skills Required

Associate degree in nursing minimum required. Licensed as a Registered Nurse.

Special Skills :

Basic knowledge of computer software applications. Basic knowledge of statistics.

Experience Required

Three years of recent clinical experience required. The ability to lead interdisciplinary teams to achieve outcomes required. Employee must have effective interpersonal communication skills and utilization of critical thinking in timely decision-making. Utilization Review, coding and case management experience is preferred.


Skills Required



Mcleod Health - 10 months ago - save job - copy to clipboard
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