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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
Locations
caret down
More
1
caret down

$60K - $99K *

Support research initiatives by preparing protocols, managing documents, and ensuring compliance. Collaborate with team members to recruit participants and adapt to the evolving healthcare landscape w...

2 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$78K - $83K *

Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $134K *

Collaborate with multidisciplinary teams to enhance patient care from admission to discharge, ensuring effective case management and optimal outcomes through personalized care plans and resource utili...

2 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$90K - $120K *

Transform nursing services by planning, developing, and directing operations to ensure quality care in compliance with regulations, standards, and best practices, while leading a dedicated team in a d...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $90K *

Accelerate patient care by leveraging your clinical expertise to connect with patients and partners, expanding service offerings through impactful relationships and presentations while collaborating c...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$98K - $140K *

Champion execution and consistency in claims processing by overseeing teams, providing training, and monitoring key metrics. Drive operational excellence and cultivate relationships while ensuring com...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Transform compliance oversight within healthcare by leading a dedicated team to audit and validate clinical practices, ensuring adherence to regulations and empowering facility management to achieve o...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Provide exceptional nursing care in a fast-paced, collaborative environment. Support patient recovery in PACU and ASC, while enhancing nursing practices and participating in quality improvement initia...

3 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$74K - $115K *

Contribute to efficient healthcare revenue processes by analyzing and validating clinical charges across departments. Collaborate with teams to ensure compliance and optimize billing accuracy, enhanci...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $115K *

Unlock potential by validating and optimizing clinical charge accuracy across departments, ensuring compliance while collaborating with teams. This role plays a key part in enhancing revenue cycle per...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $124K *

Champion quality improvement by coordinating peer review processes, analyzing clinical data, and ensuring compliance with healthcare standards. Collaborate with medical staff leadership to enhance qua...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $124K *

Take ownership of quality improvement initiatives by coordinating peer review processes, analyzing clinical data, and producing executive reports. Collaborate with medical staff leadership to drive co...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$172K - $225K *

Join a team that enhances nursing education by designing and delivering impactful training programs, ensuring compliance with healthcare standards, and promoting staff development to meet evolving hea...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Pioneer clinical informatics initiatives that elevate patient care through strategic design and optimization of health information systems, bridging clinical practice and technology for impactful heal...

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$75K - $95K *

Drive high-quality patient care as a Clinical Nurse Specialist, advancing nursing practice and outcomes by partnering with teams, conducting education, and implementing evidence-based improvements in...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $138K *

Inspire innovative research by conducting and monitoring clinical trials, ensuring protocol compliance, and collaborating with site staff. Your expertise will drive advancements in ophthalmology treat...

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $138K *

Join a team that's advancing clinical research through innovation, safety, and protocol compliance. Your expertise will drive pivotal clinical trials, ensuring quality data and effective collaboration...

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $138K *

Drive impactful clinical research by conducting and overseeing trials, ensuring compliance and data integrity. Collaborate with diverse teams to facilitate study progress, contributing innovative solu...

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$140K - $175K *

Join a team that's at the forefront of healthcare technology, bridging customer needs with innovative solutions. Bring your expertise in risk adjustment and product engagement to drive real impacts in...

US-AnywhereRemote

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$89K - $162K *

Drive comprehensive learning programs that enhance associate performance and promote professional development. Guide onboarding, competency management, and continuous education to support a skilled nu...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$69K - $104K *

Lead transformational initiatives to reduce clinical and technical denials, leveraging analytics and process improvement. Collaborate with stakeholders to create actionable solutions, support recommen...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$138K - $208K *

Reimagine healthcare operations by leading departmental strategies and ensuring compliance with regulations. Collaborate with diverse teams to enhance patient care and services while managing complex...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$89K - $162K *

Develop and implement comprehensive learning programs to enhance staff performance and promote professional growth within nursing departments, ensuring regulatory compliance and fostering collaborativ...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $95K *

Lead the charge in advancing clinical trials by monitoring site activities, ensuring protocol compliance, and analyzing complex medical data to facilitate innovative treatment development and improve...

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$75K - $95K *

Innovate quality care standards and improve patient outcomes across various clinics. Collaborate with healthcare teams to ensure compliance, enhance clinical workflows, and support educational initiat...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 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.