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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$90K - $130K *

Join a team that's dedicated to enhancing healthcare quality across BC Corrections, ensuring compliance with standards, providing leadership, and fostering continuous improvement for optimal patient c...

Vancouver, BCIn-Person

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Drive excellence in case management services, overseeing MDS operations and coordinating interdisciplinary teams to enhance resident care while ensuring efficient financial operations in skilled nursi...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Transform case management by leading MDS operations, guiding teams, and enhancing patient outcomes in a skilled nursing setting. Collaborate with senior leadership and interdisciplinary teams to manag...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Take ownership of patient care transition processes, ensuring effective case management and utilization review. Collaborate with healthcare teams to provide quality care, support, and education, facil...

Yesterday

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

$89K - $162K *

Strategize and develop engaging learning programs to enhance professional nursing education, fostering critical thinking and competency among associates while promoting career growth in alignment with...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $200K *

Join our team to evaluate clinical service requests, applying your expertise to adjudicate requests and enhance member care through innovative problem-solving and clinical leadership in a collaborativ...

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $95K *

Champion the development of clinical content using strict standards to enhance software solutions, collaborating on logic, ontologies, and publications while providing exceptional client support and i...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Lead a team of CPCs to optimize coding processes, ensuring compliance and effective revenue cycle management while fostering collaboration and operational excellence across the organization...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$150K *

Unlock potential by leading nursing operations in a skilled nursing facility. Drive clinical excellence, ensure compliance, foster staff development, and deliver exceptional care while managing a dedi...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Transform nursing education and leadership by providing expert support, mentorship, and implementation of professional development programs that enhance clinical practice and ensure high-quality patie...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$93K - $99K *

Lead the resident assessment process by overseeing MDS completion and care plan development, ensuring compliance with healthcare regulations while improving patient outcomes in a skilled nursing envir...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $130K *

Shape the future of healthcare by driving quality improvement initiatives, analyzing data, and collaborating across teams to ensure optimal patient care and compliance with regulatory standards...

Reposted 2 weeks ago

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

$61K - $122K *

Drive clinical support and education for electrophysiology products, fostering relationships with healthcare professionals. Utilize technical expertise to address inquiries and enhance product utiliza...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$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

$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

$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

$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...

Today

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

$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...

Yesterday

  •   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...

3 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

$75K - $101K *

Unlock your potential by consulting with clients to improve laboratory operations, driving compelling implementations and achieving high satisfaction. Collaborate and mentor on best practices while le...

US-AnywhereIn-Person

Reposted yesterday

  •   Less than 5 years exp.  •   Technical Services

$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

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.