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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$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $106K *

Join a team that's dedicated to enhancing patient lives through personalized home health care. You'll manage comprehensive care plans for patients, collaborating closely with healthcare professionals...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$87K - $113K *

Transform your career by overseeing medical imaging operations, ensuring exceptional patient care, supporting workflows, and leading a dedicated team in a dynamic healthcare environment. This role pro...

Reposted 1 week ago

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

$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

  •   Less than 5 years exp.  •   Healthcare

$102K - $196K *

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

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   8 - 10 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

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

$70K - $95K *

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

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

$75K - $95K *

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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

5 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.