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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$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

  •   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...

1 week 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...

3 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

$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...

Today

  •   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

$79K - $114K *

Shape nursing excellence by developing educational programs that enhance professional competencies and support staff growth within perioperative services, all while collaborating with leaders to imple...

4 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

$80K - $100K *

Shape quality patient care by leveraging nursing expertise and clinical skills in a dynamic and diverse inpatient environment, ensuring compliance with established standards while supervising staff an...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $150K *

Unlock potential by leading revenue integrity initiatives to optimize charge capture, ensuring compliance and operational efficiency across clinical departments while managing market-level strategy an...

US-AnywhereRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$75K - $95K *

Take ownership of health information management while ensuring regulatory compliance and quality care. Lead record-keeping processes, drive accuracy in documentation, and collaborate with teams to enh...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$68K - $113K *

Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...

US-AnywhereRemote

Yesterday

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

$72K - $118K *

Join a dedicated team providing comprehensive nursing care across the patient journey. Collaborate with interdisciplinary professionals to assess, plan, and implement critical interventions while advo...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $123K *

Unlock insights to enhance Stars performance through data analysis, collaboration, and strategic recommendations. Drive quality improvement initiatives while managing complex analytics within a cuttin...

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$83K - $133K *

Unlock potential by advancing nursing excellence through education and mentorship. Support clinical competency and foster a culture of safety and collaboration in Behavioral Health, enhancing patient...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$66K - $123K *

Optimize strategic initiatives by managing complex projects, driving continuous improvement, and applying process enhancement methodologies to elevate operational performance across teams and stakehol...

5 days ago

  •   5 - 7 years exp.  •   Business Services

$90K - $120K *

Drive the future of clinical documentation improvement by leading CDI teams, ensuring compliance and accuracy while executing strategic plans that enhance performance and foster collaboration across c...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$164K - $215K *

Help us transform care coordination and transitions to optimize patient outcomes. Collaborate with a multidisciplinary team to ensure effective resource management and smooth patient progression acros...

Today

  •   Less than 5 years exp.  •   Healthcare

$152K - $180K *

Lead the charge in enhancing patient safety and risk management across clinical settings, working closely with diverse healthcare teams to drive process improvements, educate staff, and ensure complia...

Today

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Lead excellence in clinical nursing services as a Regional Director, ensuring compliance and high-quality care in a dynamic, mission-driven environment. Provide support for operations, oversee teams...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Elevate nursing leadership by driving excellence in patient care while ensuring compliance across our clinical services. Collaborate with teams to enhance operational efficiency and support our missio...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $95K *

Join a dedicated team to manage patient care by utilizing your nursing expertise for chronic disease management and home visits, ensuring quality and compassionate support across diverse populations a...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $90K *

Drive impactful health services and memory care programs. Lead a dedicated team to provide exceptional care, ensuring dignity and connection for seniors, while fostering an engaging environment for th...

4 weeks 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.