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.
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.
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.
$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
Program Manager - Registered Cardiac Sonographer Training Program
$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
$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
$115K - $130K *
Champion effective claims resolution in our General Liability sector, driving innovation and collaboration while managing complex claims. Contribute to strategic business growth and forge strong relat...
5 days ago
$115K - $130K *
Join a team that's dedicated to resolving complex General Liability claims with expertise. Manage and analyze claims, drive resolutions, and foster strong relationships while contributing to business...
5 days ago
Hospice Director of Clinical Services DCS - RN
$75K - $95K *
Engage in a transformative role overseeing patient care and interdisciplinary teams, ensuring high-quality services and regulatory compliance. Lead with strong organizational and mentoring skills in a...
Reposted 1 week ago
$80K - $125K *
Advance diagnostic excellence by performing complex laboratory tests, ensuring quality control, and providing educational guidance in clinical settings. Take ownership of specimen integrity and docume...
2 weeks ago
$220K - $265K *
Transform the Application Services Department by providing strategic oversight, driving application development functions, and leading a collaborative team. Deliver innovative software solutions that...
4 weeks ago
$205K - $250K *
Shape the future of application services by leading a strategic team focused on software solutions. Manage department functions, drive enterprise app initiatives, mentor staff, and ensure operational...
4 weeks ago
$75K - $95K *
Join a team that's dedicated to transforming healthcare through innovative imaging services management, ensuring high-quality patient care, and fostering staff development and satisfaction in a collab...
Reposted 1 week ago
Clinical Educator Outpatient Clinic
$67K - $126K *
Develop orientation programs for new staff, oversee educational initiatives, and collaborate with managers to enhance employee training, ensuring compliance and competency in healthcare practices...
Reposted 6 days ago
$93K - $99K *
Advance your career by leading the MDS process and coordinating clinical reimbursements. Engage with residents to develop tailored care plans, ensuring compliance with regulations while driving qualit...
2 days ago
Medical Management Data Analyst
$70K - $95K *
Help us ensure data accuracy and quality improvements while supporting HEDIS builds and annual reporting for healthcare analytics. Join our team to enhance data processes and performance tracking in a...
Today
Medical Management Data Analyst
$70K - $95K *
Help us enhance healthcare quality through data analysis and reporting, ensuring accurate submissions and compliance with HEDIS standards. Collaborate on data integrity projects and contribute to perf...
Yesterday
$220K - $265K *
Lead the charge in overseeing the Application Services Department, providing strategic direction on application development and implementation, while managing and mentoring staff to enhance operationa...
4 weeks ago
$205K - $250K *
Elevate your career by spearheading strategic management of the Application Services Department, ensuring efficient software solutions and operational excellence while mentoring a talented team across...
4 weeks ago
Clinical Business Analyst - Level III
$80K - $110K *
Analyze healthcare analytics for Special Populations while leading initiatives in applied population health using SQL, SAS, and Tableau to improve care delivery and health equity for patients experien...
2 weeks ago
Ambulatory Registered, RN. Same Day Program
$75K - $105K *
Join us to optimize patient care through expert nursing practices, collaborating with H&P Providers and Anesthesia teams to ensure effective preoperative assessments and interventions in a dynamic hea...
3 days ago
$75K - $95K *
Lead the charge in overseeing acute care coding operations, ensuring accuracy, compliance, and effective education while driving process improvements for optimal data integrity and revenue cycle suppo...
2 weeks ago
$75K - $95K *
Lead the charge in ensuring compliance and excellence in Oncology Clinical Research. Oversee coordinators, enhance protocol adherence, and collaborate with key stakeholders to elevate the program's im...
4 weeks ago
CareLogic Clinical System Consultant
$70K - $95K *
Contribute to the successful implementation and optimization of CareLogic EHR by providing technical expertise, training, and support, ensuring compliance and workflow improvements across behavioral h...
2 weeks ago
Application Analyst III, Clinical - Outpatient Applications/Information Solutions
$80K - $100K *
Transform healthcare delivery by leveraging technology as an Applications Analyst III. Utilize your expertise to enhance clinical applications, lead projects, and coach peers while providing exception...
4 days ago
Field Nurse / Coordinator of Care
$105K - $110K *
Tackle a rewarding role coordinating patient care as a Weekend Field RN, providing essential nursing services and collaborating with healthcare teams. Enjoy the flexibility of a field-based position w...
Yesterday
Epic Applications Analyst Certified
$73K - $111K *
Lead the charge in optimizing application functionality, ensuring seamless integration and support while adhering to project management practices and quality assurance processes. Collaborate closely w...
3 weeks ago
Epic Applications Analyst Certified
$73K - $111K *
Champion innovative software solutions as an Applications Analyst, responsible for application design, development, and maintenance. Collaborate with stakeholders to enhance user experiences and suppo...
3 weeks ago
What is a Clinical Documentation Specialist?
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?
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?
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?
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.