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.
$120K - $160K *
Collaborate to create and enhance data infrastructure, enabling seamless lifecycle management for enterprise data products. Drive innovation in data lakes, streaming architectures, and observability s...
3 weeks ago
Physician Advisor - Fully Remote
$150K - $200K *
Drive your career with a dynamic role performing clinical case reviews. Collaborate with medical staff to enhance patient care, improve documentation, and optimize resource use, all while ensuring com...
Reposted 1 week ago
Region Manager Revenue Cycle Inpatient Coding-Central
$90K - $120K *
Shape the future of coding by leading teams to achieve KPIs, fostering collaboration across departments, and ensuring the integrity of inpatient medical records through expert oversight and strategic...
3 weeks ago
Clinical Medical Review Nurse (Remote)
$67K - $133K *
Lead the charge in reviewing medical claims and appeals, applying critical nursing judgment to support decision-making processes. Collaborate within a dynamic team to ensure accurate benefits eligibil...
Yesterday
Clinical Medical Review Nurse (Remote)
$67K - $133K *
Unlock potential by leveraging your nursing expertise to assess claims and provider appeals, ensuring eligibility and supporting adjudication in a collaborative, remote role with opportunities for pro...
Yesterday
Clinical Medical Review Nurse (Remote)
$67K - $133K *
Lead the medical review process by analyzing claims and provider appeals, utilizing clinical expertise to ensure appropriate benefit eligibility and guide adjudication decisions within a remote, colla...
Yesterday
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
6 days ago
$70K - $95K *
Accelerate healthcare improvement by joining our consulting team, enhancing revenue cycle operations and bridging gaps between clinical care and finance. Engage with diverse organizations, driving eff...
1 week ago
Claim Manager Clinician (Remote)
$79K - $90K *
Oversee the management of Long Term Care claims, ensuring eligibility, communicating with stakeholders, and facilitating resolutions in a remote, fast-paced environment while maintaining compliance wi...
2 weeks ago
Clinical Manager, Care Management Services (Remote)
$85K - $110K *
Champion comprehensive care management services to optimize patient outcomes, lead a multidisciplinary team, and ensure regulatory compliance within integrated behavioral and medical care settings for...
Reposted 4 weeks ago
$68K - $105K *
Lead the charge in optimizing and supporting the Epic Clinical Documentation application. Engage with users to resolve issues while analyzing and documenting system needs to enhance operational effici...
Today
$64K - $96K *
Champion accurate coding by leading quality assurance audits, collaborating with teams to enhance data integrity, and driving compliance. Utilize your expertise to support Risk Adjustment initiatives...
Reposted today
Director of Risk Adjustment & Quality Record Retrieval
$150K - $206K *
Join our team to lead and optimize a national record retrieval operation. Drive impactful processes across Risk Adjustment and quality initiatives, managing a remote workforce to enhance efficiency an...
Yesterday
$118K - $219K *
Advance quality improvement initiatives while leading process enhancements and cross-collaboration with various teams to elevate healthcare standards and patient outcomes...
Yesterday
Nurse Case Management Senior Analyst
$75K - $95K *
Unlock potential by delivering comprehensive care management solutions for individuals experiencing health challenges. Collaborate with clients, families, and providers to improve health outcomes whil...
1 week ago
Hospital and Professional Coding Manager - Hospital Rev Cycle - Remote Work Schedule
$85K - $110K *
Champion coding excellence by overseeing inpatient, outpatient, and professional coding departments, ensuring quality, compliance, and staff development through effective management and education...
1 week ago
Clinical Denials and Appeals RN
$68K - $113K *
Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...
3 weeks ago
Senior Billing Compliance Hospital Reviewer
$116K - $132K *
Accelerate progress at our organization by overseeing Billing Compliance activities, ensuring adherence to regulations, conducting audits, and collaborating cross-departmentally to enhance compliance...
Reposted 1 week ago
Clinical Product Consultant - CDI
$90K - $120K *
Transform your career by joining a dynamic Clinical team, driving product adoption and implementation while enhancing client relationships and clinical workflows in healthcare through innovative data...
Reposted today
Director Of Clinical Practice (Hospice)
$100K *
Lead clinical practice oversight, enhancing care quality through collaboration and strategic guidance. Direct clinical improvement initiatives across multiple regions, ensuring compliance, staffing op...
3 weeks ago
$75K - $95K *
Elevate clinical trial delivery by managing virtual patient support while ensuring compliance and excellence. Collaborate with sites to enhance participant experience and maintain project oversight fo...
2 weeks ago
$72K - $122K *
Lead the charge in optimizing clinical systems as you assess workflows, coordinate with teams, and train users. Your expertise will enhance Epic solutions, supporting healthcare efficiency while ensur...
2 days ago
Senior Denials Prevention Process Improvement Advisor
$69K - $104K *
Join us to lead the analysis and improvement of denial prevention strategies within healthcare, employing data analytics and process improvement to enhance revenue cycle management and client relation...
1 week ago
Application Analyst III, Clinical - Outpatient Applications/Information Solutions
$80K - $100K *
Transform healthcare delivery by leveraging technology as an Applications Analyst III. Utilize your expertise to enhance clinical applications, lead projects, and coach peers while providing exception...
3 weeks ago
HIM Coder I (SP) - Remote - 139991
$81K - $101K *
Accelerate progress at coding for surgical and interventional radiology services. Utilize your expertise in ICD and CPT coding to optimize revenue cycle efficiency, ensuring compliance with establishe...
1 week 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.