Ohio Licensed Clinical Documentation Specialist

Key responsibilities: Reviews inpatient medical records to identify documentation opportunities that accurately reflect severity of illness and risk of mortality Communicates with providers to request clarification or additional documentation, managing queries and escalations as necessary Collaborates with coding staff to ensure accurate documentation and participates in education initiatives for providers and departments

Required qualifications: Bachelor's Degree in Nursing with a current RN license in Ohio Minimum of 5 years of experience in an adult inpatient medical/surgical or critical care setting Expert knowledge of clinical documentation requirements, coding guidelines, and DRG assignment Strong critical reasoning skills in clinical decision-making and data interpretation Proficiency in computer-based applications, including Word, Excel, and Electronic Health Records (EHR)