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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$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...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $126K *

Champion compliance excellence by leading regulatory strategies, managing audits, and developing policies while ensuring adherence to state and federal requirements in a dynamic remote work environmen...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$78K - $97K *

Champion accurate coding by interpreting diagnoses and resolving claim errors in this remote role. Leverage your expertise to ensure compliance with CPT, ICD-10, and HCPCS standards while collaboratin...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$63K - $114K *

Join a team that's dedicated to ensuring effective care coordination, providing supervision, education, and guidance to optimize member services and compliance while fostering team performance and con...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Collaborate with healthcare clients to implement and optimize data solutions. Utilize SQL expertise for troubleshooting, analysis, and ensuring quality measures. Drive impactful results through client...

US-AnywhereRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Elevate your expertise in commercial contracting by overseeing legal reviews, drafting and optimizing agreements, and collaborating across teams to drive efficiency within a dynamic healthcare technol...

US-AnywhereRemote

2 days ago

  •   8 - 10 years exp.  •   Legal & Accounting

$90K - $120K *

Lead the charge in HEDIS, Medicare Stars, and ACO analytics, ensuring data integrity, compliance, and performance improvement across diverse teams, while driving quality metrics impacting financial an...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$78K - $95K *

Transform compliance through expertise in HR regulations, policy management, and training. Support a culture of accountability while navigating multi-state employment laws across diverse teams, ensuri...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$117K *

Help us optimize health care compliance by engaging with organizations, assessing standards, and preparing actionable management reports. Leverage your RN expertise and leadership skills to drive impr...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $121K *

Transform operational capabilities by designing, building, and supporting IT solutions that enhance clinical and business efficiency, while collaborating with clients to meet their needs and drive suc...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$120K - $140K *

Optimize the administration of document control and Quality Management Systems, ensuring compliance and efficiency in managing document lifecycles, training, and quality records across multiple depart...

US-AnywhereRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Partner with us to enhance patient care by executing effective health management plans. Your skills will drive evaluation and coordination of healthcare services, ensuring quality outcomes and cost-ef...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $131K *

Lead the charge in optimizing coding compliance through rigorous auditing, mentorship, and innovative strategies. Collaborate across teams while developing actionable audits to enhance regulatory adhe...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Drive the enterprise social and web records management program, ensuring compliance with federal standards while managing workflows for digital records. Collaborate with various teams to strengthen go...

US-AnywhereRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$100K - $120K *

Drive success through strategic client management, optimizing coding operations and enhancing revenue cycle performance. Engage with stakeholders while ensuring compliance with intricate coding regula...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$68K - $103K *

Join us to enhance long-term care services by leveraging your nursing or social work expertise. You'll improve care plans, assess claimant needs, and collaborate with healthcare professionals in deliv...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $120K *

Advance your career by leading revenue cycle initiatives, enhancing compliance, and driving process improvements across multiple teams while ensuring data integrity and supporting innovative healthcar...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$91K - $128K *

Contribute to the enhancement of encounter operations by leveraging your expertise in claims, analysis, and regulatory compliance. Engage collaboratively across teams to resolve complex issues and dri...

US-AnywhereRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Lead the charge in Medicare and Marketplace audit oversight, guiding a team through planning, execution, and compliance reporting while driving operational improvements for enhanced quality and effect...

US-AnywhereRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Champion patient well-being by leading a team focused on integrating behavioral health in oncology. Oversee operations, enhance care quality, and ensure compliance while mentoring staff in delivering...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $131K *

Join us to shape the future of healthcare compliance by leading detailed coding audits, mentoring auditors, and driving continuous improvement efforts to enhance compliance standards in a remote envir...

US-AnywhereRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Transform healthcare quality improvement by overseeing program functions, collaborating across departments, and ensuring compliance. Drive analysis, reporting, and strategic initiatives to enhance per...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...

US-AnywhereRemote

Reposted today

  •   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.