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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$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

$78K - $120K *

Transform clinical workflows as an Epic Clinical Analyst II, managing system configuration, enhancements, and supporting users. Collaborate with healthcare teams to optimize patient care and ensure se...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$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...

4 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...

2 days ago

  •   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...

2 weeks 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...

1 week 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...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

  •   5 - 7 years exp.  •   Healthcare

$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...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Innovate patient care by managing hospital cases from admission to discharge, ensuring effective coordination, quality assessment, and communication with health plans for optimal care delivery in vari...

2 weeks ago

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

$93K - $99K *

Lead the Resident Assessment Process by managing the MDS and Care Plans in a dynamic long-term care environment. Collaborate with interdisciplinary teams to enhance resident outcomes and ensure compli...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $120K *

Transform the future of clinical reimbursement by leading MDS processes, ensuring compliance, and optimizing reimbursement strategies while collaborating with interdisciplinary teams for high-quality...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $92K *

Join our team to optimize data processing and compliance for a federal client. Use your strong organizational skills to manage records, ensure accuracy, and support application intake while delivering...

1 week ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$226K - $317K *

Lead the charge in providing psychiatric care to forensic patients, conducting evaluations, diagnoses, and treatment within a dynamic team environment in a mental health facility. Participate in emerg...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Champion patient care by developing education and competency plans for cellular therapy staff, ensuring adherence to regulatory standards and improving care outcomes for complex blood cancer therapies...

Reposted 2 weeks ago

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

$75K - $95K *

Elevate patient care through effective resource coordination, ensuring optimal health, timely throughput, and safe discharge while managing case management departments and collaborating with healthcar...

3 days ago

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

$75K - $95K *

Shape the future of oncology coding by supporting practices with expert advice and training, while auditing compliance and enhancing performance across multi-specialty services to optimize patient car...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Manage patient care coordination, enhancing clinical outcomes and satisfaction. Collaborate with interdisciplinary teams to ensure efficient service delivery from admission to discharge, while oversee...

Reposted 3 weeks ago

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

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.