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.
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.
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.
Remote RN Supervisor I - Cancer Services - Hematology/Oncology - Kelsey Seybold Clinics: Main Campus
$72K - $130K *
Provide leadership to the oncology nursing team, ensuring quality patient care and compliance with accreditation standards while fostering a collaborative environment in a fast-paced clinical setting...
1 week ago
Epic Senior Access Analyst - Prelude & Referrals
$83K - $222K *
Engineer advanced Epic system solutions, lead projects, mentor analysts, and enhance operational efficiency in healthcare. Provide technical support and collaborate with cross-functional teams to opti...
3 weeks ago
Quality Analyst - Diagnosis-Related Group (DRG), Healthcare
$70K - $110K *
Lead quality assurance for clinical DRG audits, ensuring accuracy and consistency in coding. Mentor auditors, recommend process changes, and analyze errors to enhance performance. Collaborate effectiv...
2 days ago
Complex Litigation Analyst - Remote
$89K - $119K *
Join us to analyze complex litigation matters, providing expert guidance on insurance policies and legal issues while collaborating with cross-functional teams to ensure compliance and improve process...
Yesterday
Assessment Implementation Director
$93K - $166K *
Collaborate with district leaders to enhance assessment strategies, analyze data, and support educational programs. Drive insights and improvements for student outcomes, serving as a trusted advisor a...
1 week ago
$75K - $95K *
Drive progress by optimizing workflows, enhancing revenue cycle operations, and implementing effective solutions to improve efficiency and meet performance goals...
Reposted 1 week ago
Senior Clinical Research Associate
$80K - $110K *
Explore a rewarding Senior Clinical Research Associate role managing relationships and ensuring quality in clinical trials across various therapeutic areas, with a strong focus on patient safety and c...
3 weeks ago
Clinical Analyst Appeals (Remote)
$93K - $124K *
Drive impactful clinical audit processes and appeals for compliance within a leading healthcare system. Collaborate with providers and management to enhance documentation and billing practices while e...
2 weeks ago
Product Owner, Hospital/Provider Revenue Cycle (Remote) (USC or GC req'd)
$90K - $120K *
Unlock potential by leading product development initiatives while collaborating with global teams to enhance technology solutions in revenue cycle management. Drive the vision, ensure quality, and mee...
1 week ago
Senior Director, Gold Card Program
$148K - $274K *
Drive innovative program development while ensuring stakeholder alignment and optimal performance outcomes. Lead cross-unit integration, adapt technology use, and enhance consumer experience through e...
Reposted 5 days ago
$107K - $120K *
Optimize application performance and reliability as an Application Support Engineer. Ensure seamless operations of our cloud-hosted mortgage platform through effective troubleshooting, incident manage...
2 weeks ago
Senior Provider Contracting Professional
$78K - $107K *
Shape the future of healthcare contracting by negotiating impactful agreements. Leverage your expertise to communicate, analyze, and maintain provider contracts, influencing strategic decisions that o...
3 days ago
$85K - $110K *
Transform insights into action as a Senior Specialized Analyst. Partner with leaders across various domains to create analytics solutions that drive informed decision-making and optimize operational e...
Reposted 6 days ago
Cyber HealthCare Program Specialist
$92K - $138K *
Advance cybersecurity healthcare solutions by driving strategies, collaborating with teams across functions, and enhancing service delivery for clinical devices while ensuring compliance and operation...
Yesterday
Sr. CRA-Medical Device-Cardiology
$90K - $120K *
Oversee and manage clinical trial activities, ensuring compliance with protocols, regulations, and standards while fostering collaboration among stakeholders for data integrity and successful trials...
4 weeks ago
Project Delivery Project Manager
$80K - $120K *
Elevate your career by leading complex real estate projects, ensuring strategic oversight of multi-million dollar initiatives while maintaining budgetary control and seamless coordination with stakeho...
Reposted 1 week ago
Healthcare Consulting Director - Workforce
$185K - $225K *
Lead transformative workforce strategies in healthcare, optimizing staff efficiency and alignment with patient care needs. Build client relationships, mentor teams, and drive innovative solutions for...
3 days ago
$70K - $95K *
Shape the future of public safety by leading complex software implementations. This role involves managing client projects with independence, mentoring junior staff, and driving quality outcomes throu...
4 days ago
$70K - $95K *
Lead the charge in complex client implementations for public safety software, ensuring successful delivery, mentoring junior staff, and driving quality outcomes with minimal oversight throughout the f...
4 days ago
$130K - $180K *
Lead the charge in enhancing IT governance frameworks for digital platforms, ensuring compliance and operational excellence. Monitor governance effectiveness while collaborating with cross-functional...
3 weeks ago
Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...
4 days ago
Application Analyst II, LIS/Beaker - Clinical Applications/Information Solutions
$70K - $95K *
Champion innovative solutions and support clinical applications to enhance healthcare efficiency. Collaborate with team members to improve user experience and ensure operational excellence through a v...
4 weeks ago
Casualty Claims Quality Assurance Consultant
$85K - $130K *
Contribute to enhancing casualty claims quality and consistency through thorough audits, performance evaluation, and process improvements. Collaborate with teams to uncover insights, ensure compliance...
4 days ago
System SVP Support Services Resource Management
$150K - $200K *
Lead the charge in strategic supply management across our national system, ensuring cost-effective sourcing, contracting, and logistics, while enhancing customer service and caregiver support through...
1 week ago
$102K - $163K *
Lead the charge in agile delivery management, guiding cross-functional teams to achieve high-impact technology outcomes. Foster a culture of collaboration, drive continuous improvement, and deliver me...
4 days ago
What is a Clinical Documentation Specialist?
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?
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?
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?
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.