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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$145K - $200K *

Shape the future of healthcare by managing transformative projects while mentoring teams, fostering partnerships, and driving performance improvement within diverse healthcare organizations...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $115K *

Drive quality care by leading nursing processes and supporting a dedicated team. Collaborate with the Director of Nursing to enhance patient outcomes through effective systems implementation and clini...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Serve as a key leader in shaping patient care services, directing multidisciplinary teams, and ensuring compliance with regulations to enhance quality care across diverse settings. Drive patient-focus...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $105K *

Transform your career by ensuring compliance and excellence in MDS assessments, supervising data entry, and leading quality improvement initiatives within a dynamic healthcare environment. Play a vita...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Lead the charge in managing Medical Staff Office operations, prioritizing credentialing and workflow. Collaborate across departments to enhance processes, support decision-making, and ensure complianc...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $95K *

Empower healthcare innovation by analyzing and optimizing application systems. Collaborate with stakeholders to enhance user experience, support operational goals, and ensure seamless software impleme...

Today

  •   Less than 5 years exp.  •   Healthcare

$73K - $110K *

Support the Coding team by optimizing operations and coding quality through audits, collaboration, and strategic initiatives. Demonstrate keen attention to detail and build relationships across the or...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$61K - $111K *

Engage with multidisciplinary teams to enhance patient-centered care, elevate care quality, and streamline case management processes. Monitor and support patients from pre-admission through post-disch...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$106K - $137K *

Inspires innovative healthcare technology solutions by assessing needs and implementing clinical systems. Collaborates across teams to enhance patient care delivery, ensuring compliance and strategic...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Unlock your potential by managing Epic systems, driving automated solutions, and optimizing user experience within a dynamic healthcare setting. Collaborate with teams to enhance project outcomes whil...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Engage in a pivotal role overseeing clinical coding operations, ensuring accuracy and compliance in medical record reviews and reporting while leading process improvements and team training initiative...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Lead the charge in enhancing healthcare quality through effective oversight of compliance, risk management, and continuous improvement initiatives. You will direct strategic quality programs that elev...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$64K - $97K *

Join a team that supports IT service communications and user education. Design and enhance promotional campaigns to drive engagement across diverse university audiences, ensuring effective documentati...

Sherbrooke, QCIn-Person

3 weeks ago

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

$72K - $92K *

Join a team that's dedicated to oncology data management and registry standards. Utilize your analytical skills to maintain compliance and ensure high-quality patient data while collaborating with mul...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Shape the future of patient care by overseeing utilization review processes, ensuring compliance with regulations, and leading a dedicated team to improve service quality and efficiency for Medicaid m...

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Engage in dynamic patient care, utilizing advanced nursing techniques and leadership skills. Collaborate with a diverse team to ensure high-quality, age-appropriate healthcare delivery while fostering...

6 days ago

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

$80K - $100K *

Drive patient-centered care by leveraging your nursing expertise in a fast-paced environment, while ensuring adherence to established practices and promoting patient safety. Collaborate with a diverse...

6 days ago

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

$75K - $95K *

Support excellence in clinical care by leading DME services teams, ensuring compliance and efficiency in utilization management, and fostering collaboration among providers, vendors, and stakeholders...

Today

  •   Less than 5 years exp.  •   Healthcare

$63K - $105K *

Join a team that champions excellence in Behavioral Health coding. Lead a skilled team while ensuring compliance, data integrity, and operational goals. Elevate your career with opportunities for grow...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $132K *

Lead the charge in optimizing patient rehabilitation outcomes as a vital member of a dedicated post-acute therapy team, focusing on restoring functional abilities and enhancing the quality of life for...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $125K *

Help us enhance patient care as a PM&R Clinician, collaborating with interdisciplinary teams to improve recovery outcomes at a skilled nursing facility. Enjoy autonomy, flexible hours, and opportuniti...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Shape the future of maternal care by enhancing nursing competence and safety through targeted education and training initiatives within the obstetrics department, ensuring high-quality, evidence-based...

Today

  •   5 - 7 years exp.  •   Healthcare

$95K - $125K *

Make your mark at an innovative healthcare team as you optimize rehab outcomes for patients. Lead in a supportive environment focusing on functional recovery while balancing autonomy and collaborative...

2 weeks ago

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

$81K - $130K *

Shape the future of cardiac sonography training by managing program delivery, enhancing curricula, and fostering clinical partnerships to ensure exceptional education and compliance in an innovative l...

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $95K *

Empower residents by leading comprehensive nursing care while fostering a supportive environment. Manage RNs and care associates to ensure high standards of service in memory care, emphasizing residen...

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.