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.
Manager, Hospital Services Clinical
$75K - $95K *
Manage clinical education and quality outcomes initiatives while ensuring implementation of best practices to achieve facility goals. Collaborate with teams to enhance nephrology services and drive co...
Today
Manager, Hospital Services Clinical
$104K - $150K *
Transform clinical outcomes by leading educational initiatives and policy implementation. Collaborate with diverse teams to enhance quality management while ensuring adherence to facility goals and be...
Yesterday
Manager, Hospital Services Clinical
$104K - $150K *
Unlock potential by developing and implementing clinical policies and education materials, enhancing quality outcomes and supporting teams in delivering exceptional care across multiple facilities...
Yesterday
Manager, Hospital Services Clinical
$75K - $95K *
Pioneer advances in clinical education and quality outcomes while implementing best practices. Collaborate across regions to develop policies and enhance training that supports continuous improvement...
Today
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...
3 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...
1 week ago
Lead Surgical Coding Auditor/Educator
$85K - $105K *
Design comprehensive audit processes for surgeon documentation, ensuring compliance with regulations and providing educational feedback. Collaborate on coding issues and drive improvement in quality o...
4 weeks ago
$89K - $116K *
Take ownership of outpatient dialysis care, guiding clinical teams to ensure patients receive high-quality and compassionate treatment, while overseeing plans and outcomes in a dynamic and supportive...
Reposted 2 days ago
$83K - $110K *
Contribute to exceptional outpatient dialysis care by overseeing treatment, guiding clinical staff, and ensuring safety standards. Forge long-term relationships with patients in a dynamic, collaborati...
Yesterday
$83K - $110K *
Join our team to coordinate and enhance outpatient dialysis care, overseeing patient treatment and guiding clinical staff to ensure high-quality, compassionate care for patients with end-stage renal d...
Yesterday
Clinical Coordinator RN Charge Nurse
$108K - $143K *
Empower patients by coordinating advanced inpatient dialysis care, leading a dedicated team to ensure compliance, quality outcomes, and clinical excellence in a fast-paced hospital environment while d...
Reposted 1 week ago
Clinical Coordinator RN Charge Nurse
$108K - $143K *
Empower patient care by leading inpatient dialysis services, coordinating treatment for ESRD patients while ensuring compliance and high-quality clinical outcomes through effective team supervision an...
Reposted 1 week ago
Clinical Registered Nurse ASC (Ambulatory Surgery Center, Pre Op)
$75K - $95K *
Deliver exceptional patient care in the PACU and ASC, collaborating with teams to achieve health goals while maintaining high-quality standards and emotional support for patients and families in a dyn...
3 weeks ago
Accreditation and Clinical Standards Coordinator
$95K - $110K *
Join us to lead accreditation efforts, ensuring compliance and excellence across clinical standards. Collaborate with leaders, manage audits, and implement corrective actions to maintain organizationa...
3 weeks ago
$70K - $95K *
Unlock your potential as you drive impactful clinical trials and ensure patient safety, while collaborating with a dedicated team to advance innovative healthcare solutions...
2 weeks ago
Licensed Clinical Social Worker
$88K - $111K *
Join a dynamic interdisciplinary team to deliver transformative behavioral health services, providing clinical supervision and fostering recovery through assessments, psychotherapy, and community coll...
Today
Assistant Director of Nursing- RN
$90K *
Inspire excellence in patient care as you lead nursing operations, ensuring compliance and quality standards. Collaborate with a dedicated team to enhance the healthcare experience for residents while...
1 week ago
$90K - $120K *
Transform clinical services by ensuring 24/7 high-quality, participant-centered care while leading staff development and compliance efforts. Collaborate with teams to improve outcomes in elder care, d...
2 weeks ago
Clinical Review RN, Maternal Mortality
$80K - $90K *
Bring your expertise to a vital role requiring strong clinical analysis and communication skills as you review and summarize maternal health cases, contributing to quality improvement and regulatory a...
2 weeks ago
$75K - $95K *
Elevate patient care by providing comprehensive case management services, coordinating with interdisciplinary teams to ensure effective discharge planning and resource utilization, while addressing ba...
6 days ago
Clinical Laboratory Scientist (CLS)
$78K - $111K *
Transform patient care by leading laboratory operations, ensuring accurate test results, collaborating with healthcare teams, and maintaining high safety standards while prioritizing specimen integrit...
1 week ago
System Director of Case Management
$90K - $120K *
Lead case management initiatives, ensuring high-quality patient care and administrative effectiveness across various divisions, while fostering a family-centered approach and strategic resource alloca...
1 week ago
System Director of Case Management
$90K - $120K *
Drive initiatives for high-quality, cost-effective case management services, ensuring optimal patient care across designated divisions while leading clinical, administrative, and HR activities. Collab...
1 week ago
$70K - $117K *
Elevate patient care by providing expert nutrition guidance and individualized dietary plans, collaborating with a dedicated interdisciplinary team to enhance quality of life for chronic kidney diseas...
3 weeks ago
DTS Population Health Systems Analyst II
$75K - $95K *
Analyze and support application systems to enhance healthcare operations. Collaborate with teams to optimize workflows and troubleshoot issues, ensuring effective use of technology in clinical and bus...
1 week 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.