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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$89K - $142K *

Transform healthcare solutions as an Epic Application Analyst, driving system analysis, design, and support for applications. Collaborate with teams and clients to enhance workflows while managing pro...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Empower clinical teams by optimizing Oracle Health EHR systems and workflows. Lead assessments, guide process improvements, and support decision-making during EHR Go-Live operations, enhancing safety...

US-AnywhereRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$85K - $110K *

Lead the charge in ensuring regulatory compliance across business units. Collaborate with teams to implement and communicate necessary regulatory updates and maintain operational integrity through eff...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $145K *

Deliver innovative implementation strategies for healthcare solutions, collaborating with stakeholders to integrate and optimize Edifecs applications while ensuring technical precision and client sati...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Support the development and delivery of comprehensive clinical training programs, optimize onboarding processes, and enhance workforce competency across clinical operations to ensure regulatory compli...

US-AnywhereRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Shape the future of diabetes management by guiding members through their healthcare journey. Leverage your expertise to empower patients to achieve better self-management and health outcomes via remot...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$146K - $282K *

Transform enterprise quality assurance by architecting innovative, AI-driven testing solutions that enhance integration workflows and ensure data integrity across systems. Collaborate with cross-funct...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $95K *

Champion data-driven transformation in healthcare by analyzing gaps, mapping processes, and devising strategic roadmaps. Engage leadership with actionable insights and innovative solutions that enhanc...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $126K *

Advance your career as an expert in HEDIS quality oversight and audit readiness. Lead complex audit workstreams and collaborate across teams to ensure compliance and enhance submission accuracy, all w...

US-AnywhereRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $110K *

Join our team to support clinical informatics functions that ensure safe and efficient patient care during Federal EHR implementations. Contribute through process evaluation and enhancing clinical dec...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Drive the design and optimization of integrated clinical information systems to enhance quality, safety, and operational efficiency. Collaborate with clinical and IT teams to ensure effective implemen...

US-AnywhereRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join our team as a Data Quality / Governance Analyst to ensure accurate, reliable enterprise data through effective governance, validation, and alignment across systems for a large federal mission env...

US-AnywhereRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Information Technology

$80K - $126K *

Empower legal operations by managing commercial contracts and supporting the General Counsel. Lead drafting, negotiation, and oversight of agreements while ensuring compliance and efficiency. Drive st...

US-AnywhereRemote

5 days ago

  •   5 - 7 years exp.  •   Legal & Accounting

$70K - $95K *

Lead the charge in managing enterprise CMS operations, ensuring optimal performance, governance, and seamless content workflows. Collaborate with teams to maintain system integrity and support efficie...

US-AnywhereRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$90K - $110K *

Join a collaborative team to assess and enhance quality assurance in DRG auditing and clinical review processes. Utilize your expertise to validate clinical documentation and coding, ensuring complian...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Deliver innovative solutions by implementing and optimizing EPIC EHR systems, ensuring effective collaboration with clinical teams to enhance operational workflows and resolve issues in a dynamic heal...

US-AnywhereRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $106K *

Develop and implement comprehensive billing compliance education programs, ensuring adherence to regulations, enhancing staff training, and promoting accurate billing practices across multiple roles w...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$107K - $199K *

Champion quality excellence by leading transformative initiatives within claims operations. Utilize data-driven insights and technology to optimize processes, enhance accuracy, and drive continuous im...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$75K - $135K *

Lead the care coordination team to ensure optimal service delivery and continuity of care. This role requires managing caseloads, overseeing team operations, and driving quality standards while collab...

US-AnywhereRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$65K - $108K *

Advance surgical coding excellence by accurately applying ICD-10 and CPT codes for trauma and vascular surgery cases, ensuring compliance with guidelines while optimizing efficiency and reimbursement...

US-AnywhereRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$83K - $110K *

Join a dynamic team to design and implement HL7 interfaces, ensuring seamless integration between healthcare systems and delivering high-quality solutions for client needs. Your expertise will drive c...

US-AnywhereRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $183K *

Lead initiatives to enhance clinician engagement and retention across diverse disciplines. Drive strategic improvements for workflow optimization, career development, and well-being, ensuring clinicia...

US-AnywhereRemote

Reposted 5 days ago

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

$160K - $200K *

Unlock potential by leading strategic initiatives to enhance revenue recovery and drive operational excellence in healthcare financial operations. Collaborate with cross-functional partners to achieve...

US-AnywhereRemote

Today

  •   8 - 10 years exp.  •   Healthcare

$90K - $110K *

Transform the technology landscape by developing and maintaining applications through collaboration, innovation, and rigorous support of IT operations, all while ensuring top-notch performance and rel...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Information Technology

$148K - $274K *

Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...

US-AnywhereRemote

1 week ago

  •   8 - 10 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.