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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$207K - $346K *

Champion high-quality patient care by conducting specialized medical case reviews and peer consultations. Leverage your clinical expertise while working 100% remote within a supportive environment, en...

US-AnywhereRemote

1 week ago

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

$82K *

Pioneer the MDS assessment process, ensuring compliance and documentation accuracy. Collaborate with multidisciplinary teams to enhance patient care and drive quality improvement initiatives within sk...

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $122K *

Transform patient care by collaborating in complex cardiovascular procedures, providing essential support throughout diagnostics and interventions while ensuring safety and effectiveness in a multidis...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $122K *

Shape the future of cardiovascular care by coordinating complex procedures, providing patient management, and ensuring optimal lab operations in a dynamic environment focused on innovation and excelle...

2 weeks ago

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

$140K - $150K *

Shape the future of hospice care by leading the clinical team, ensuring compliance with regulations, and fostering a high-performing culture that empowers staff to deliver exceptional care and meet op...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $110K *

Shape the future of healthcare compliance by leading risk adjustment coding initiatives. Utilize your expertise to ensure accuracy in coding, enhance quality improvement efforts, and foster collaborat...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$177K - $246K *

Drive excellence in patient care coordination by leading a clinical team, developing management processes, and collaborating with multidisciplinary professionals to enhance overall healthcare services...

Yesterday

  •   8 - 10 years exp.  •   Healthcare

$119K - $150K *

Lead a team of analysts and administrators in developing and implementing audit concepts, managing operational efficiency, and mentoring staff to enhance performance and compliance in a dynamic health...

US-AnywhereRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$54K - $155K *

Lead the charge in optimizing prior authorization processes for physical and behavioral health services while utilizing clinical expertise in a collaborative healthcare environment to enhance member c...

US-AnywhereRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$171K - $214K *

Lead the organization's transformation to AI-native, overseeing data analytics, governance, and AI strategies. Drive high-impact solutions that align with business objectives, enhancing organizational...

2 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$75K - $95K *

Optimize quality and safety programs in a Magnet-recognized children's hospital by analyzing data, improving patient outcomes, and leading initiatives that enhance clinical performance while ensuring...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Transform healthcare quality by collaborating on safety initiatives and data analysis. Support leadership in enhancing patient safety and performance improvement while ensuring compliance in a Magnet...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $160K *

Collaborate to create and enhance data infrastructure, enabling seamless lifecycle management for enterprise data products. Drive innovation in data lakes, streaming architectures, and observability s...

US-AnywhereRemote

5 days ago

  •   5 - 7 years exp.  •   Information Technology

$80K - $100K *

Engage with clinical stakeholders to enhance EHR systems, support healthcare operations, and improve informatics processes. Utilize your expertise to drive training, resource development, and performa...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$79K - $105K *

Transform patient care by assessing behavioral health needs and ensuring efficient service delivery while mentoring new team members and enhancing operational effectiveness across the continuum of car...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$79K - $105K *

Help us transform behavioral health services by assessing patient needs and coordinating care strategies while mentoring new staff and guiding members through their treatment journey...

Today

  •   Less than 5 years exp.  •   Healthcare

$66K - $101K *

Join a team that's dedicated to improving recovery outcomes for injured workers. As a Medical Case Manager, you'll collaborate with patients, healthcare providers, and families, conducting assessments...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Shape the future of coding by leading teams to achieve KPIs, fostering collaboration across departments, and ensuring the integrity of inpatient medical records through expert oversight and strategic...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$89K - $95K *

Tackle team leadership responsibilities by supervising coding validation processes, optimizing coder performance, and ensuring adherence to quality metrics while fostering a collaborative work environ...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Elevate staff capabilities through targeted training and development, ensuring adherence to clinical standards and regulatory guidelines. Collaborate cross-functionally to enhance patient care and fos...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Join a team that's dedicated to providing expert oncology care to patients. Utilize advanced nursing skills to deliver compassionate, patient-centered care in a dynamic clinical environment while ment...

1 week ago

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

$89K - $162K *

Transform patient care by leveraging RN expertise in case management. Drive effective care coordination and discharge planning to enhance patient outcomes and resource utilization throughout the care...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $97K *

Join a team that's redefining healthcare auditing. Leverage your coding expertise to ensure accuracy and compliance in inpatient coding disputes, while collaborating with medical professionals to driv...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $110K *

Engage in essential medical staff coordination, ensuring compliance with regulations and efficient operations. Collaborate across departments and assist with credentialing and quality processes within...

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Empower patients by providing expert clinical guidance and support, enhancing healthcare quality through education and cooperation among healthcare teams. This role fosters professional growth and enc...

3 weeks ago

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

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.