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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$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

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$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...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Bring your expertise to managing high-quality clinical data, ensuring compliance and consistency across multiple projects. Oversee database design, conduct quality control, and communicate effectively...

Today

  •   Less than 5 years exp.  •   Healthcare

$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 2 days ago

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

$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

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

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   15+ years exp.  •   Hospitals & Medical Centers

$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

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

$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

  •   11 - 15 years exp.  •   Hospitals & Medical Centers

$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

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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...

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$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

  •   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.