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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$61K - $101K *

Manage revenue integrity operations by resolving billing errors and denials, ensuring compliance with payer requirements, and improving processes alongside stakeholders for optimal performance in reve...

US-AnywhereRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Empower your career by providing exceptional client service and support to enhance gross profit margins and customer satisfaction. Engage with internal teams and clients, driving strong relationships...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$139K - $179K *

Analyze compliance and coding operations with expertise to enhance quality and ensure adherence to regulations. Collaborate with teams to drive continuous improvement and present findings to managemen...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $175K *

Transform the healthcare landscape by providing vital expertise in payment integrity and fraud operations, bridging the gap between operational insights and technology solutions for commercial payers...

Reposted 3 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K *

Help us ensure exceptional care for Assisted Living and Memory Care residents while assisting the clinical team in operational tasks, compliance, and training. Join a mission-driven environment focuse...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K *

Drive excellence in care and operations within assisted living communities, overseeing resident needs and regulatory compliance while collaborating with clinical and administrative teams to enhance se...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$114K - $177K *

Join a team that's empowered to enhance complex healthcare systems through advanced analysis, configuration, and support. Collaborate across teams to drive operational excellence and develop innovativ...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$83K - $124K *

Partner with us to enhance clinical resource management by leveraging your expertise in Epic applications; design, build, and support operational workflows while ensuring excellence in project deliver...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $109K *

Join a dynamic team to influence drug authorization requests while enhancing pharmacy benefit management. Collaborate with stakeholders and apply your expertise in clinical decision-making to improve...

Ottawa, ONHybrid

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$89K - $104K *

Grow your career with us by overseeing the MDS process, ensuring regulatory compliance, optimizing reimbursement, and collaborating with an interdisciplinary team to enhance resident care outcomes in...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$89K - $104K *

Transform patient care by overseeing the MDS process, ensuring compliance, optimizing reimbursement, and collaborating with interdisciplinary teams to elevate resident outcomes and quality standards i...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Accelerate progress at our skilled nursing facilities through specialized training. Develop leadership skills in a supportive environment and unlock your potential for a Director of Nursing role after...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $104K *

Help us transform healthcare by accurately coding inpatient records, assigning ICD-10 codes, and ensuring optimal reimbursement. Collaborate with clinical teams to maintain coding integrity and excell...

2 weeks ago

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

$71K - $104K *

Lead the charge in accurately coding inpatient medical records to optimize reimbursements through effective collaboration and adherence to guidelines. Contribute to coding accuracy and financial effic...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K *

Lead the charge in managing our acute dialysis unit, ensuring high-quality patient care and collaboration with physicians and hospital staff while driving continuous improvement and staff development...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$135K - $182K *

Lead application support for EHR systems by optimizing workflows, training users, and enhancing system functionality through analysis and collaboration with stakeholders to meet diverse healthcare nee...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$106K - $138K *

Champion compliance and risk management within healthcare operations, ensuring adherence to coding standards and regulations. Collaborate cross-functionally to enhance quality, support audits, and dri...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$130K - $165K *

Champion innovative clinical solutions by translating complex scenarios into actionable, clinically grounded input for engineering and product teams. Collaborate cross-functionally and engage with cli...

US-AnywhereRemote

3 weeks ago

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

$71K - $107K *

Support Epic application functionality by analyzing workflows, configuring systems, and collaborating with users to enhance clinical operations and maintain compliance with standards and regulations...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$96K - $145K *

Transform enterprise workflows and optimize Epic functionality through advanced analysis, project leadership, and cross-department collaboration, ensuring seamless integration and high-quality perform...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$102K - $196K *

Lead the charge in providing exceptional nursing leadership and operations management to ensure quality patient care and safety within your unit. Collaborate with diverse teams to implement best pract...

Today

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

$85K - $117K *

Lead the execution of client implementation projects, ensuring alignment across cross-functional teams to enhance operational efficiency and exceed client expectations while driving process improvemen...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Transform patient care by demonstrating advanced competency in procedural and perianesthesia nursing. Utilize clinical expertise to enhance patient outcomes and supervise nursing staff in a dynamic he...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Join a team that's dedicated to delivering extraordinary patient care through collaboration, critical thinking, and effective communication, ensuring the best outcomes for residents while managing res...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Champion compassionate, cost-sensitive care by coordinating with residents, families, and healthcare teams to develop tailored plans that ensure optimal health outcomes for patients while effectively...

3 days 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.