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.
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.
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.
Coding Quality Reviewer Educator - Remote
$64K - $110K *
Engage in ensuring coding accuracy and compliance while educating staff on best practices to optimize performance within the HIM department, contributing to quality health care delivery and revenue cy...
Reposted 4 weeks ago
$75K - $100K *
Educate and train healthcare professionals in medical coding and billing. Develop engaging programs, assess effectiveness, and support teams in adhering to coding standards. Stay updated with industry...
Reposted 1 week ago
$60K - $107K *
Partner with us to lead a skilled medical coding team, ensuring accuracy and compliance while fostering a culture of continuous improvement and excellence. Shape the future of coding operations throug...
4 days ago
$60K - $107K *
Lead the coding team to ensure top-notch operational performance and compliance. Oversee coding accuracy, provide staff development, and streamline workflows to enhance revenue cycle efficiency while...
1 week ago
$80K - $109K *
Bring your expertise to auditing inpatient coding and ensuring compliance with accuracy standards. Collaborate with internal teams and offshore auditors to maintain high quality in coding practices wh...
3 weeks ago
$80K - $109K *
Serve a team focused on auditing inpatient coding for accuracy and compliance, conducting analysis, and suggesting improvements through collaboration with internal and offshore teams to enhance coding...
3 weeks ago
$77K - $106K *
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Reposted 3 weeks ago
Clinic Manager II - Continuity of Care and GME Residency Program
$75K - $95K *
Grow your career by managing clinic operations, enhancing patient care, and overseeing staff in a dynamic healthcare environment. Drive financial performance while ensuring compliance and continuous q...
Reposted 1 week ago
$72K - $118K *
Provide compassionate care by assessing patient needs, developing care plans, and collaborating with the nursing team to ensure optimal patient outcomes across a diverse range of health concerns...
3 days ago
$87K - $113K *
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$85K - $100K *
Join a team that's transforming healthcare delivery through innovative clinical informatics solutions. Drive system enhancements, engage with clinical staff, and lead initiatives that improve patient...
5 days ago
Assistant Director of Nursing (RN) Emergency Department
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Drive quality patient care by leading nursing operations, coordinating staff, and ensuring adherence to healthcare standards. Collaborate with leadership to enhance patient outcomes and facilitate smo...
2 weeks ago
Clinical Nurse Specialist - Hematology Unit - CNS
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Transform patient care as a Clinical Nurse Specialist, leveraging your expertise to lead practice improvements and foster collaboration across nursing teams to achieve optimal health outcomes...
Reposted 2 days ago
$120K - $145K *
Explore a pivotal role managing integration projects and development in healthcare. This position blends technical expertise in integration engines with project leadership, ensuring successful deliver...
4 weeks ago
$234K - $244K *
Lead the quality assurance team, establishing standards, policies, and management systems to ensure compliance with medical device regulations while driving product development and operational excelle...
Reposted 1 week ago
Clinical Data Coordinator - ICD10/CPT Coding – Full Time
$109K - $130K *
Champion the integrity and compliance of clinical data in a dynamic healthcare environment, coordinating coding activities and guiding providers to enhance documentation and optimize revenue cycles fo...
Reposted 1 week ago
$82K - $105K *
Advance clinical care excellence by managing MDS documentation, overseeing nursing tasks, and collaborating with multidisciplinary teams to enhance resident outcomes in a supportive, hybrid work envir...
4 days ago
$100K - $120K *
Champion multiple Epic ClinDoc and Orders projects, ensuring optimal workflows, application build, and production support across diverse healthcare initiatives to enhance clinical documentation and or...
3 days ago
Senior Clinical Quality Performance Specialist
$75K - $95K *
Lead quality improvement initiatives by leveraging data analytics and collaboration to identify and resolve clinical care opportunities. Drive accreditation support and develop performance metrics to...
Reposted 3 weeks ago
Epic-Certified EHR Systems Analyst I (Beaker)
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Empower teams by designing, implementing, and supporting critical information systems applications. Collaborate to enhance processes, ensure alignment, and elevate user experience through effective tr...
Reposted 2 weeks ago
Senior Utilization Management Compliance and Accreditation Specialist
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Take ownership of compliance and accreditation functions for Government Programs, ensuring adherence to URAC/NCQA standards, and leading initiatives to mitigate risks, drive corrective actions, and en...
Reposted 1 week ago
Assistant Director of Nursing (RN) Surgical Clinic
$102K - $196K *
Transform the future of patient care by leading and enhancing ambulatory nursing services, ensuring quality, safety, and evidence-based practices while fostering teamwork and compliance with regulatio...
3 days ago
$66K - $101K *
Grow your career with a Medical Case Manager role that blends remote work and travel. You'll support injured workers, collaborating with healthcare providers to enhance recovery and manage caseloads e...
1 week ago
Senior Utilization Management Compliance and Accreditation Specialist
$75K - $95K *
Lead the charge in enhancing compliance for utilization management, overseeing accreditation processes, mitigating risks, and ensuring adherence to URAC/NCQA standards while driving quality improvemen...
Reposted 1 week ago
$110K - $150K *
Unlock potential by leading complex, high-impact programs that drive AI initiatives and operational excellence across cross-functional teams. Deliver strategic engagements while enhancing processes fo...
5 days ago
What is a Clinical Documentation Specialist?
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?
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?
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?
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.