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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$75K - $95K *

Manage Medicare reporting to optimize payments in compliance with OBRA and PPS. Ensure high quality service delivery while supporting strategic goals and department objectives in a dynamic healthcare...

2 weeks ago

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

$86K - $124K *

Drive clinical excellence as a leader in emergency nursing, enhancing patient outcomes, leading education initiatives, and implementing evidence-based practices in a dynamic, high-acuity setting with...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $134K *

Support workplace health by managing injury prevention and wellness programs. Ensure compliance with health regulations, coordinate care for associates, and provide clinical assessments to enhance saf...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$142K - $213K *

Reimagine healthcare operations by leading departmental strategies and ensuring compliance with regulations. Collaborate with diverse teams to enhance patient care and services while managing complex...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $113K *

Engage in health informatics to optimize data management and improve healthcare outcomes. Collaborate on innovative solutions, leverage technology, and drive performance to enhance patient care and ad...

US-AnywhereRemote

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Support nursing operations by overseeing staff, implementing policies, and ensuring resident safety. Collaborate with the Director of Nursing to enhance care delivery and maintain regulatory complianc...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Accelerate quality nursing care by overseeing staff, ensuring compliance, and supporting patient relations in a dynamic healthcare environment. Collaborate with the nursing director to maintain high s...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $120K *

Lead and inspire nursing excellence in a supportive environment. Collaborate strategically to enhance patient care, streamline operations, and cultivate a quality-focused team culture. Elevate your ca...

3 weeks ago

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

$150K - $180K *

Innovate the DRG Validation solution by leading operational excellence and strategic growth initiatives across multiple teams. Drive automation and AI integration to enhance coding accuracy and effici...

Reposted 1 week ago

  •   11 - 15 years exp.  •   Healthcare

$80K - $95K *

Create and implement educational programs for clinical staff, fostering growth and compliance through collaboration and innovative practices while supporting operational excellence and quality improve...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the charge in developing and evaluating educational programs that enhance clinical practice and regulatory compliance while fostering continuous improvement across Ambulatory Surgery Centers...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $130K *

Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Shape the future of youth healthcare by overseeing clinical operations across multiple sites, enhancing patient care quality, and fostering staff development in a dynamic ambulatory environment...

Reposted 2 weeks ago

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

$100K - $130K *

Champion effective risk management across healthcare operations, leading a team to identify, evaluate, and mitigate risks. Collaborate with diverse stakeholders to enhance patient safety, streamline c...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Advance your career by joining our skilled nursing team as an MDS Coordinator. Collaborate to assess resident needs, develop care plans, and ensure regulatory compliance to enhance resident well-being...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Accelerate progress at our clinical research unit by leading quality assurance initiatives, performing comprehensive reviews, and ensuring compliance with regulatory standards across multiple studies...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$102K - $196K *

Lead transformational nursing practices while ensuring optimal patient care and safety. Collaborate across disciplines to drive unit objectives and maintain compliance with healthcare standards, suppo...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$106K - $138K *

Join a team that empowers compliance excellence in medical coding through expert analysis, effective collaboration, and strategic reporting. Support operations across diverse healthcare settings while...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$89K - $142K *

Champion excellence in vascular nursing by providing specialized patient care, fostering collaboration, leading educational initiatives, and driving evidence-based practice to enhance health outcomes...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Contribute to enhancing quality and safety in patient care through compliance monitoring, performance improvements, and root cause analysis across the organization. Play a vital role in fostering high...

Reposted 2 weeks ago

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

$120K - $125K *

Champion growth by leading staff training initiatives and infection prevention efforts, ensuring compliance and quality care in a skilled nursing facility while fostering collaboration with interdisci...

2 days ago

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

$86K - $89K *

Champion the growth of home health aides through on-site supervision and training. Engage directly with clients while assessing and coordinating patient care in a supportive, dynamic environment, maki...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Drive compliance excellence by conducting audits, establishing quality standards, and ensuring adherence to FDA and GMP regulations. Collaborate across teams to enhance manufacturing processes and tra...

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$88K - $105K *

Lead the management of resident medical records and health information systems, ensuring compliance with policies and regulations. Collaborate with medical staff to maintain accurate documentation and...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $96K *

Create and execute compelling digital content that resonates across channels, collaborating with stakeholders to tell impactful brand stories while adhering to strategic communication goals and scient...

2 weeks ago

  •   5 - 7 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.