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.
$225K - $275K *
Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...
6 days ago
$86K - $113K *
Shape the success of client relationships by managing operational execution, driving project initiatives, and promoting Cotiviti's solutions. Collaborate across teams to enhance client satisfaction an...
2 weeks ago
Health Information Coder 4 - Remote - 140753
$105K - $131K *
Join a team that's dedicated to delivering exceptional patient care through expert inpatient coding across various specialties. Embrace a challenging role in a supportive, high-performance environment...
5 days ago
Clinician Coding Liaison - Medical Based Specialties
$73K - $110K *
Reimagine coding practices by delivering proactive education, ensuring compliance, and optimizing documentation across diverse pediatric specialties. Lead training for physicians to enhance accuracy a...
Reposted 1 week ago
Information Systems Security Manager
$135K - $155K *
Lead the charge in managing FedRAMP compliance and security for cloud systems. Ensure ongoing authorization, risk management, and strategic guidance for secure cloud architecture while collaborating a...
2 weeks ago
$78K - $106K *
Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...
2 days ago
Denial Prevention Nurse Consultant
$80K - $95K *
Drive exceptional outcomes by leveraging your clinical expertise to analyze medical records, validate billing accuracy, and optimize revenue cycle processes. Collaborate with clients and payors to nav...
2 weeks ago
Auditor Clinical Validation (Place of Service, Short Stay & Readmission)
$95K *
Transform healthcare auditing by leveraging your clinical expertise to conduct thorough reviews, ensuring compliance with care standards. Join a dynamic team dedicated to improving outcomes through pr...
3 days ago
$70K - $126K *
Join a team that's committed to ensuring quality credentialing for providers. Utilize your analytical skills and experience in a collaborative environment to streamline processes and enhance provider...
2 days ago
$110K - $150K *
Unlock potential by leading complex, high-impact programs that drive AI initiatives and operational excellence across cross-functional teams. Deliver strategic engagements while enhancing processes fo...
2 weeks ago
$75K - $100K *
Drive client satisfaction and Gross Profit Margin by managing the transaction lifecycle, facilitating sales processes, and developing strong relationships with assigned accounts, ensuring a seamless e...
1 week ago
$125K - $150K *
Lead impactful clinical services strategy and execution across client engagements. Drive innovation and optimize workflows while collaborating with cross-functional teams to enhance client outcomes an...
2 weeks ago
$82K - $111K *
Engage with clients as a trusted advisor, managing relationships and ensuring success with operational initiatives. Foster collaboration across teams to drive client satisfaction and promote Cotiviti...
3 days ago
Applications Analyst II - Epic Inpatient ClinDoc/Stork
$71K - $104K *
Tackle the integration of technology and business processes. As an Applications Analyst II, you'll enhance operations by leveraging systems solutions, collaborating with diverse teams, and driving pro...
Reposted 5 days ago
Coding Auditor - Ambulatory/Professional Coding/Profee
$55K - $109K *
Contribute to quality assurance by auditing coders for accuracy, ensuring adherence to guidelines, and facilitating improvements in coding processes. Collaborate effectively with internal teams and cl...
Yesterday
Senior Compliance Analyst, Duals (DSNP) Products
$70K - $126K *
Drive your career with impactful leadership in compliance strategy for D-SNP programs. Engage with regulatory agencies, lead audits and training, and contribute to policy development in a dynamic and...
2 days ago
$110K - $130K *
Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...
Reposted 5 days ago
$87K - $157K *
Empower innovative clinical project management to enhance care quality and efficiency, collaborating with provider groups to meet strategic health goals while supporting data-driven performance improv...
Yesterday
$79K - $99K *
Innovate your career by conducting comprehensive inpatient DRG reviews, ensuring coding accuracy and compliance with industry guidelines while driving savings for clients through detailed analyses and...
4 days ago
$71K - $106K *
Join a team that's dedicated to enhancing healthcare IT systems, optimizing workflows, and implementing Epic applications to meet organizational needs. Your expertise will play a crucial role in innov...
4 days ago
Director, Payment Integrity - Edit Programs
$118K - $219K *
Drive compliance by overseeing prepay audits and coding accuracy. Analyze results, develop action plans, and implement strategic initiatives to ensure adherence to regulations while reducing waste and...
6 days ago
Inpatient Medical Coding Auditor
$71K - $97K *
Join a team that's redefining healthcare auditing. Leverage your coding expertise to ensure accuracy and compliance in inpatient coding disputes, while collaborating with medical professionals to driv...
Reposted 2 weeks ago
$90K - $105K *
Advance your career by overseeing resident assessment processes and ensuring compliance with MDS and PDPM standards. Drive clinical oversight and enhance training for MDS teams while fostering effecti...
Today
Clinical Medical Review Nurse (Remote)
$67K - $133K *
Serve as a key resource in reviewing medical claims and appeals, applying clinical judgment to determine eligibility and support decision-making. Collaborate with teams to enhance policy understanding...
Today
Clinical Medical Review Nurse (Remote)
$67K - $133K *
Manage clinical reviews of claims, utilizing nursing expertise to ensure eligibility for benefits while analyzing medical risks and policies within a remote team framework with occasional in-person me...
2 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.