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.
Clinical Administrator/House Supervisor (RN)
$99K - $152K *
Join a dedicated team as a Clinical Administrator, overseeing nursing care, resource allocation, and compliance to enhance patient outcomes and foster a culture of learning and collaboration in health...
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Join our mission to deliver exceptional home health care while managing patient experiences, collaborating with multidisciplinary teams, and ensuring meticulous record-keeping. Your expertise will enh...
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Clinical Nurse B-Inpatient-Alternate Care Unit
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Transform patient care by utilizing independent judgment to deliver quality, age-specific services in a fast-paced environment. Collaborate with diverse teams, supervise staff, and continuously enhanc...
4 days ago
$90K - $120K *
Partner with us to lead nursing operations, ensuring clinical excellence and regulatory compliance while developing a cohesive nursing team within a dynamic treatment environment...
6 days ago
Clinical Quality Improvement Specialist
$75K - $95K *
Engage with interdisciplinary teams to enhance nursing informatics, driving performance improvements and ensuring high-quality patient care through data-driven insights and collaborative problem-solvi...
1 week ago
Clinical Nurse B-Inpatient-Alternate Care Unit
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Manage quality patient-centered care in a dynamic environment, utilizing nursing skills and judgment while supervising staff. Embrace continuous learning and lead initiatives to enhance practices whil...
Reposted today
Clinical Nurse B-Inpatient-Alternate Care Unit
$80K - $100K *
Join a team that's dedicated to delivering patient-centered care while utilizing your clinical expertise in a fast-paced environment. Embrace innovation, supervise staff, and contribute to a collabora...
Reposted today
Clinical Nurse B-Inpatient-Alternate Care Unit
$75K - $95K *
Tackle patient-centered care by utilizing nursing expertise in a fast-paced environment. Collaborate with a diverse team, demonstrate clinical competencies, and embrace ongoing learning to enhance pat...
4 days ago
Clinical Nurse B-Inpatient-Alternate Care Unit
$80K - $100K *
Lead and coordinate quality patient-centered care in a dynamic inpatient setting. Utilize clinical expertise and interpersonal skills while supervising diverse staff, ensuring compliance with healthca...
4 days ago
Vice President, Case Management
$150K - $200K *
Drive the future of case management by providing strategic leadership and direction. Collaborate with stakeholders to advance clinical priorities and ensure alignment with regulatory standards, enhanc...
Reposted 2 weeks ago
$80K - $115K *
Join a team that's dedicated to integrated document management, ensuring the efficient preservation and accessibility of vital engineering documentation while adhering to policies and regulations in a...
Yesterday
$75K - $95K *
Advance patient care through effective case management and discharge planning, ensuring continuous support and resource optimization. Collaborate with diverse teams to implement care strategies that e...
1 week ago
$70K - $95K *
Develop and deliver innovative coding education programs for clinicians and coders. Collaborate across teams to enhance understanding of coding regulations, improve documentation, and support optimal...
4 weeks ago
Chef.fe de service, soutien au Dossier de santé connecté (DSC)
$101K - $132K *
Join a dynamic team to lead innovative digital health initiatives, enhancing user support and improving health service delivery across the organization. Drive operational excellence and foster a high...
1 week ago
DODAF Documentation Specialist - Journeyman
$90K - $120K *
Engage in the development of DoDAF architecture products, ensuring alignment with enterprise architecture standards. Facilitate document accuracy and compliance, supporting the Army National Guard's m...
Yesterday
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Unlock impactful resident care as you coordinate MDS assessments, ensuring compliance with regulations and driving quality outcomes through collaboration with interdisciplinary teams...
1 week ago
Community Care Manager (RN) - MDPCP
$80K - $120K *
Drive patient advocacy and care coordination by collaborating with healthcare teams to manage high-risk patients, ensuring optimal outcomes through comprehensive support and education across the healt...
2 weeks ago
Clinical Manager, Care Management Services (Remote)
$85K - $110K *
Champion comprehensive care management services to optimize patient outcomes, lead a multidisciplinary team, and ensure regulatory compliance within integrated behavioral and medical care settings for...
Reposted 1 week ago
Director, Inpatient Coding and Compliance
$100K - $130K *
Shape the future of health information management by leading coding, compliance, and documentation enhancement efforts. Ensure high-quality data management and accurate coding practices to support pat...
3 weeks ago
$100K - $106K *
Elevate the quality of healthcare data by accurately coding professional services. Collaborate with clinical teams to ensure documentation accuracy while adhering to coding guidelines and regulations...
4 weeks ago
$75K - $95K *
Champion the management of medical records, ensuring compliance and accuracy while facilitating seamless inter-departmental collaboration in a skilled nursing environment dedicated to delivering excep...
Reposted today
$75K - $95K *
Transform medical records management by overseeing procedures for collection, coding, and auditing. Play a key role in ensuring compliance with laws and fostering collaboration across departments for...
Reposted 2 days ago
Executive Director Specialist RN
$90K - $120K *
Empower our hospice care teams by overseeing operations, ensuring compliance, and driving quality patient services. Provide leadership across multiple markets while managing budgets and fostering a co...
2 weeks ago
$66K - $101K *
Analyze and execute claim audits, leveraging clinical expertise and CMS knowledge. Collaborate with teams to ensure compliance with policy standards while delivering precise, timely results. Cultivate...
6 days ago
$90K - $120K *
Transform healthcare outcomes by leading a dynamic coding department, ensuring compliance, optimizing operations, and enhancing financial performance across multiple locations local to the organizatio...
3 weeks 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.