Clinical Documentation Specialist Jobs

A Clinical Documentation Specialist is a healthcare professional who is responsible for maintaining and ensuring the accuracy of medical records. They also work towards making sure that the documentation aligns with the coding guidelines and legal requirements.

Job Description and Duties

Clinical Documentation Specialists work in various healthcare institutions, including hospitals, clinics, and health departments. Their main duty is to review and verify the patients' medical records and make sure they are complete. They also ensure that these records can be easily understood and follow the required standards.

Career Opportunities

With increasing emphasis on data and records in healthcare, Clinical Documentation Specialists are in high demand. There are opportunities to work in diverse healthcare settings, with interesting roles and potential for professional growth and progression.

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1
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$82K - $127K *

Join a team that's committed to enhancing healthcare by ensuring accurate clinical documentation and fostering collaboration among medical professionals to support quality patient care and compliance...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Contribute to improving clinical documentation integrity through developing standard processes, educating staff, and conducting thorough reviews to enhance compliance and support value-based care init...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$71K - $115K *

Grow your career with a role focused on enhancing clinical documentation quality and accuracy, facilitating collaboration across healthcare teams, and improving patient data representation to support...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$96K - $134K *

Support and enhance clinical documentation integrity processes by evaluating reviews and compliance. Collaborate with the CDI team to provide coaching, develop educational resources, and deliver insig...

US-AnywhereRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Unlock potential by leading clinical documentation reviews and enhancing healthcare quality. Collaborate with teams to ensure accurate representation of patient care and support optimal reimbursement...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $132K *

Help us enhance clinical documentation quality through education, collaboration, and audits, impacting patient care outcomes. This role involves training, compliance reviews, and teamwork across depar...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Play a key role in clinical reviews by assessing medical necessity of healthcare services, collaborating with interdisciplinary teams, and ensuring compliance with quality standards through detailed d...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K *

Lead inpatient auditing efforts focusing on clinical chart validation and coding accuracy, using advanced ICD-10 knowledge to independently analyze claims, ensure compliance, and enhance auditing proc...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K *

Explore a dynamic role auditing outpatient and specialty claims, ensuring coding accuracy and compliance while applying clinical expertise. Contribute to process improvement and collaborate effectivel...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K *

Unlock potential in outpatient and specialty audits by leveraging clinical and coding expertise. Conduct thorough claim audits, ensuring accuracy, compliance, and identifying improvement opportunities...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$250K - $330K *

Drive excellence in quality, risk adjustment, and documentation, integrating critical functions to improve payer performance and financial sustainability in value-based care. Lead a transformative str...

US-AnywhereRemote

6 days ago

  •   11 - 15 years exp.  •   Healthcare

$70K - $126K *

Lead the charge in ensuring accurate MS-DRG and APR-DRG coding while exercising autonomy in clinical documentation reviews. Collaborate with medical experts to optimize compliance and enhance reimburs...

US-AnywhereRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Champion comprehensive inpatient coding audits and education initiatives, ensuring compliance and performance improvement within a dynamic healthcare environment, with leadership responsibility for a...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Manage configuration management processes to ensure compliance and traceability across Air Force IT systems. Collaborate with cross-functional teams to maintain documentation, support CI/CD pipelines...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$90K - $120K *

Transform the coding and CDI landscape by leading audit and education initiatives, ensuring compliance and enhancing performance across teams. Drive training development and process improvement to fos...

US-AnywhereRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $100K *

Champion excellence in clinical operations by managing field practitioners, ensuring compliance and quality care, and driving operational success in a dynamic healthcare environment. Lead innovative t...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Lead the coding audit and education operations, managing personnel, facilitating training, and ensuring standardization across the region, driving quality and productivity in healthcare coding service...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $104K *

Elevate your career by managing applications and driving day-to-day operations. Collaborate with stakeholders and offshore teams to enhance support in a dynamic healthcare environment while ensuring c...

US-AnywhereRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $93K *

Shape the future of healthcare through enhanced clinical documentation quality, ensuring thorough medical records and accurate coding. Collaborate with providers to elevate patient care and compliance...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$75K - $103K *

Contribute to the development of clinical coding by analyzing medical policies, ensuring high quality and relevance while mentoring team members in a dynamic environment. Collaborate with various team...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $110K *

Pioneer the optimization of inpatient clinical applications, collaborating with end-users and operational leaders to enhance workflows and support Epic EHR systems. Drive impactful communication and a...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $110K *

Explore the complexities of coding for surgical and complex specialties by providing education, support, and documentation feedback. Collaborate across departments to optimize workflows and ensure com...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$68K - $109K *

Take ownership of accurate coding and documentation processes in inpatient care. Lead coding teams to enhance quality and compliance while ensuring efficient operations aligned with industry best prac...

US-AnywhereRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$80K - $84K *

Elevate healthcare delivery by conducting comprehensive medical claims reviews, ensuring accurate coding and pricing determinations. Collaborate with multi-disciplinary teams to enhance coding process...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $145K *

Empower the health plan as a Medical Policy Director, guiding coding and payment policy strategies while collaborating with diverse teams to optimize client solutions and deliver impactful presentatio...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Clinical Documentation Specialist?question toggle

    A Clinical Documentation Specialist is a healthcare professional responsible for the accuracy and completeness of medical records. They ensure these records meet coding guidelines and legal requirements.

  • Where can Clinical Documentation Specialists work?question toggle

    Clinical Documentation Specialists work in a variety of healthcare settings such as hospitals, clinics, and health departments.

  • What is the average salary for Clinical Documentation Specialist jobs?question toggle

    The average salary can vary depending on the location and the company. However, on Ladders, you can find Clinical Documentation Specialist jobs that pay over $100000.

  • What qualifications do I need to become a Clinical Documentation Specialist?question toggle

    Typically, a Clinical Documentation Specialist requires a degree in health informatics or a similar field and some prior experience in a healthcare setting. Further, professional certification may enhance job prospects.