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 - $110K *

Transform clinical operations by leading invasive cardiovascular procedures, mentoring a skilled team, and ensuring compliance with safety standards to deliver exceptional patient care and outcomes...

2 weeks ago

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

$102K - $196K *

Lead the charge in delivering high-quality patient care while supporting staff development and compliance with clinical standards in a dynamic nursing environment...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $105K *

Grow your nursing career by joining a collaborative healthcare team focused on patient self-management, chronic illness care, and effective communication between patients and providers...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform clinical workflows and optimize Epic applications to enhance patient care. Serve as a key liaison between stakeholders, ensuring technology meets organizational goals while supporting clinic...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Unlock potential by supporting Epic clinical applications, optimizing workflows, and enhancing patient care delivery. This role requires collaboration, critical thinking, and project management to imp...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$99K - $152K *

Create a positive impact as you lead clinical operations, ensuring high-quality patient care while collaborating with nursing teams. Develop professional practice environments and uphold regulatory st...

6 days ago

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

$78K - $109K *

Unlock potential by coordinating care and optimizing health services. This hybrid role involves managing utilization review processes, collaborating with medical staff, and ensuring comprehensive disc...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Deliver exceptional nursing care to PACE participants, collaborating with clinic staff to ensure the highest standards of medical and nursing practices, while actively engaging in case management and...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $145K *

Champion comprehensive patient support through effective case management, tailoring interventions to meet individual needs, enhancing care transitions, and collaborating with multidisciplinary teams f...

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $102K *

Empower interdisciplinary teams by leading MDS coordination efforts, ensuring compliance with federal and state regulations while optimizing resident assessments through accurate data collection and q...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Engage with patients and multidisciplinary teams to coordinate patient-centered care, ensuring effective transitions and resource management throughout the healthcare continuum for optimal outcomes...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $130K *

Lead your career with a crucial role in directing hospice clinical services, overseeing personnel, and ensuring compliance with standards while fostering a high-performing, cohesive team...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $130K *

Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Take ownership of hospice operations, ensuring exceptional care delivery and regulatory compliance while leading a compassionate team focused on growth and operational excellence in patient-centered s...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$72K - $93K *

Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $114K *

Empower nursing staff by designing and delivering impactful educational programs. Collaborate with leadership to enhance staff development and ensure compliance with healthcare regulations while foste...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $129K *

Join a team dedicated to empowering individuals in managing chronic conditions. As a Health Coach Consultant, you will assess, educate, and support members to achieve optimal health through a collabor...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Lead and support nursing excellence by integrating advanced clinical expertise, education, and mentorship to elevate patient care, improve outcomes, and foster professional growth within interdiscipli...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$122K - $277K *

Join us in leading quality improvement and safety initiatives, collaborating with diverse healthcare teams to enhance patient safety and outcomes. As a content expert, you will facilitate educational...

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$122K - $277K *

Analyze and lead quality improvement and safety initiatives, collaborating with clinical and administrative teams to enhance patient safety and outcomes. Serve as a content expert and educator, drivin...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $107K *

Elevate your career by analyzing clinical workflows and supporting the implementation of Epic applications. Join us to enhance healthcare technology, ensure user satisfaction, and contribute to operat...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$160K - $190K *

Drive patient care excellence as you collaborate with physicians to oversee treatment plans, conduct assessments, and manage chronic conditions in a dynamic healthcare environment. Prioritize educatio...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$170K - $175K *

Tackle diverse healthcare challenges as a Clinical Lead NP, collaborating with physicians, managing chronic conditions, and optimizing patient outcomes while adhering to standards of care and document...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$99K - $104K *

Grow your career with a fulfilling role focused on MDS assessments and compliance. Ensure accurate clinical documentation and collaborate with teams to enhance resident care and regulatory standards i...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Join a dynamic team leading the design, testing, and optimization of healthcare application systems. Collaborate with users to resolve technical issues and implement enhancements for a reliable and in...

3 weeks ago

  •   5 - 7 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.