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.
Application Analyst II, LIS/Beaker - Clinical Application/Information Solutions
$70K - $95K *
Support clinical applications and enhance user experience through effective maintenance, troubleshooting, and collaboration, while fostering project success and improving operational efficiency in a d...
3 weeks ago
$65K - $98K *
Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...
2 weeks ago
Program Manager III - Compliance Program Admin
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Transform project management practices by leading cross-functional teams to enhance efficiency, improve service levels, and implement strategic improvements that align with organizational goals and re...
Reposted 6 days ago
$90K - $120K *
Empower cross-functional operations as a Senior Business Analyst, driving initiative solutions and enhancing vendor relationships while guiding teams through complexity to impactful recommendations fo...
2 weeks ago
Digital Forensic Collection Specialist
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Unlock potential by performing hands-on digital forensics, ensuring robust preservation, imaging, and secure storage of electronic evidence. Collaborate with legal teams and IT staff to streamline col...
2 days ago
$80K - $100K *
Pioneer advancements in Health Information Management by leading and mentoring a coding team. Evaluate efficiencies, enhance operations, and ensure compliance while fostering a collaborative environme...
2 weeks ago
Professional Services Consultant (MS)
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Collaborate with us to deliver impactful consulting and implementation projects, ensuring client satisfaction and workflow efficiency in healthcare settings. Leverage AI tools, mentor colleagues, and...
Reposted 2 days ago
Director, Client Coding Integration
$121K - $182K *
Drive strategic client coding integration initiatives, ensuring operational excellence and alignment with enterprise standards. Collaborate with cross-functional teams to enhance client relationships...
6 days ago
Director, Client Coding Integration
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Unlock potential by leading client coding integrations, ensuring operational excellence and high-quality relationships across healthcare partnerships. Drive onboarding, standardization, and performanc...
6 days ago
$90K - $115K *
Grow your career with a pivotal role overseeing remote clinical operations, coaching your team to excellence while collaborating with care providers. Manage performance and ensure quality client care...
2 weeks ago
Sr. Clinical Health Informaticist
$100K - $130K *
Champion innovative clinical informatics solutions, collaborating with diverse teams to enhance veteran healthcare delivery through effective process modeling and electronic health record transition s...
5 days ago
$81K - $104K *
Elevate healthcare IT by optimizing Epic Radiant systems for imaging and procedural workflows. Collaborate with teams to enhance patient care delivery through technology, ensuring alignment with clini...
1 week ago
$102K - $184K *
Lead the charge in transforming healthcare technology through intelligent automation, enhancing member responsiveness and operational efficiency by developing, supporting, and optimizing solutions usi...
3 weeks ago
CDCES Health Coach Consultant - Registered Nurse
$54K - $142K *
Take ownership of member health outcomes by providing expert coaching and guidance. Collaborate with healthcare professionals to facilitate best practices in chronic condition management, ensuring opt...
2 weeks ago
$70K - $95K *
Empower the healthcare system as an Epic Application Analyst, implementing and enhancing applications to improve patient care. This role bridges technical proficiency with clinical knowledge for seaml...
Reposted 2 days ago
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
$68K - $112K *
Drive compliance excellence by reviewing coding accuracy, guiding education, and ensuring adherence to regulations. Collaborate with teams to analyze data, produce insights, and enhance operational ef...
Reposted today
Epic Clinical Documentation Analyst
$90K - $120K *
Join a team that's dedicated to supporting and enhancing the Epic EHR system. As a Clin Doc Analyst, you will collaborate with clinical users to streamline documentation processes, ensuring compliance...
Reposted 4 days ago
Senior Coding Data Quality Analyst - Provider Based
$75K - $95K *
Manage coding quality initiatives and compliance for network operations. Collaborate with staff to enhance coding skills and documentation accuracy, ensuring adherence to regulatory standards while op...
3 weeks ago
Supervisor - Audit/Investigation
$75K - $95K *
Join a team that conducts vital audits and investigations into Medicare fraud. Oversee case evaluations, manage investigation plans, and lead a dedicated team to protect program integrity through rese...
1 week ago
Health Informatics Specialist III
$90K - $120K *
Empower clinical and operational teams by optimizing information systems for pediatric healthcare. Drive initiatives in virtual care, enhance workflows, and mentor peers to elevate care delivery acros...
3 weeks ago
Manager, Patient Services - Client Program Mgmt, Patient Access
$102K - $130K *
Reimagine patient services management by leading remote teams, enhancing operational efficiencies, and fostering collaboration to drive program success while ensuring high-quality outcomes in a dynami...
1 week ago
Requirements/Documentation Analyst
$98K - $163K *
Transform project outcomes by documenting and analyzing requirements. Collaborate with project stakeholders to ensure successful delivery and alignment of contractual obligations while fostering stron...
2 weeks ago
Client Delivery Manager - Revenue Cycle (REMOTE)
$80K - $110K *
Deliver exceptional client support as you manage operational alignment, performance insights, and issue resolution across assigned accounts, advocating for clients while collaborating with internal te...
1 week ago
Epic Hospital Billing Systems Analyst - Remote
$72K - $130K *
Drive enhancements in hospital billing systems by configuring and supporting workflows. Collaborate with stakeholders to optimize processes ensuring smooth data flow for revenue integrity and timely r...
3 weeks ago
Lead, Data Quality/Integrity – Clinical Abstraction Operations
$106K - $147K *
Lead a team to enhance data quality and integrity in clinical abstraction, managing vendor relationships and overseeing medical record reviews to support enterprise data initiatives and HEDIS goals. D...
5 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.